Active NPI
Laura J Mulcahy, FNP
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1356584916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331375
- Practice address
- 3230 Bainbridge Ave
STD Center Suite D
Bronx, NY 10467-3963 - Phone
- (718) 882-5482
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331375 | NY | Primary |
Addresses
Primary practice location
3230 Bainbridge Ave
STD Center Suite D
Bronx, NY 10467-3963
Mailing address
463 Bronxville Rd
Bronxville, NY 10708-1102
Phone (718) 882-5482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331375 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1356584916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 BRONXVILLE RD",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107081102",
"telephone_number": "718-882-5482",
"fax_number": "718-882-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 BAINBRIDGE AVE",
"address_2": "STD CENTER SUITE D",
"city": "BRONX",
"state": "NY",
"postal_code": "104673963",
"telephone_number": "718-882-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAHY",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.