Individual provider Active NPI

Marie Edith Petitme, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1326487075
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337573 Issued in NY
Practice address
75 Broad St RM 815
New York, NY 10004-3233
Phone
(718) 391-0611
Fax
(718) 732-2638
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F337573 NY Primary
Family Nurse Practitioner 363LF0000X F337573-1 NY

Addresses

Primary practice location

75 Broad St RM 815
New York, NY 10004-3233

Mailing address

506 Lenox Ave
MLK 6227
New York, NY 10037
Phone (212) 939-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531001885 NY Practitioner - Nurse Practitioner 6002115474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

594 Albany Ave
Brooklyn, NY 11203-1706
Phone (646) 694-6680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F337573NYMDFamily Nurse Practitioner
F337573-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 6, 2021 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Apr 4, 2016 Accepting new patients
Harlem Medical Associates PC CurrentSince Nov 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 6, 2021 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Apr 4, 2016 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mpetitme680957@nychhc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1326487075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "address_2": "MLK 6227",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1277",
            "fax_number": "212-939-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BROAD ST RM 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043233",
            "telephone_number": "718-391-0611",
            "fax_number": "718-732-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITME",
        "first_name": "MARIE",
        "middle_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337573",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337573-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.