Organization Active NPI

Mary Bumpars Nurse Practitioner in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1356937916
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MARY BUMPARS NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(347) 620-8901
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Mary Q Bumpars, NPNPI 1386111292
Title
Nurse Practitioner
Phone
(347) 620-8901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

1612 Main St Unit 1162
Pleasant Valley, NY 12569-7096
Phone (347) 620-8901

Other practice location 1

970 Prospect Ave Apt 4F
Bronx, NY 10459-2925
Phone (347) 301-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231129000817 NY Part B Supplier - Clinic/Group Practice 6608224803 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

3010 Eastchester Rd
Ste 261
Bronx, NY 10469
Phone (929) 618-9983

1612 Main St
Unit 1162
Pleasant Valley, NY 12569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1356937916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MAIN ST UNIT 1162",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697096",
            "telephone_number": "347-620-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "347-620-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Prospect Ave Apt 4F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592925",
            "country_code": "US",
            "telephone_number": "347-301-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY BUMPARS NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "BUMPARS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-620-8901",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.