Ann-Marie Mais, NP
Individual provider Active NPI Family Nurse Practitioner · Bronx, NY
NPI 1356690499 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1356690499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F343771 (NY)
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427001653 | NY | Practitioner - Nurse Practitioner | 9638587934 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636889 | NY | MD | Registered Nurse |
| F343771 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Urgicare, PLLC | Current |
Accepting new patients | |
| Bronx Medical Practice P.C. | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| Ann-Marie Mais Nurse Practitioner in Family Health PLLC | Family | Current | Accepting new patients |
Locations
1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 636889 | NY | |
| Family Nurse Practitioner | 363LF0000X | F343771 | NY | Yes |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Other providers in Bronx, NY
- Main St Footcare, PLLC
- Maria Cristina Maine
- Seam Mainuddin
- Marisa Maio
- Anneliese Mair
- Maisel & Osborne MD PLLC
- Maisha Campbell, LCSW LLC
- Lyann Marie Maisonave
- Lourdes Maisonet
- Nakisha Diane Maisonet
All providers in Bronx, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.