Individual provider Active NPI

Jose Michael Maria, NP, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1366711103
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339074 Issued in NY
Practice address
489 5TH Ave FL 3
New York, NY 10017-6145
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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 339074 NY Primary
Registered Nurse 163W00000X 617047 NY

Addresses

Primary practice location

489 5TH Ave FL 3
New York, NY 10017-6145

Mailing address

3184 Grand Concourse Apt 2D
Bronx, NY 10458-1031
Phone (646) 389-8369

Other practice location 1

3184 Grand Concourse Apt 2D
Bronx, NY 10458-1031
Phone (646) 389-8369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.maria@688977317724164.direct.elationemr.com Direct

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
I20210114002166 NY Practitioner - Nurse Practitioner 2264845072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3184 Grand Concourse
Apt 2D
Bronx, NY 10458-1031

PO Box
Suite 746087
Atlanta, GA 30374-6087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
617047NYMDRegistered Nurse
339074NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose M Maria Family Health Nurse Practitioner PC Family CurrentSince Dec 28, 2023 Accepting new patients
Gastroenterology and Liver Associates of Riverdale PC PastSince Dec 24, 2023 Accepting new patients

Locations

3184 Grand Concourse
Apt 2D
Bronx, NY 10458
Phone (646) 389-8369

Networks

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

Interoperability endpoints

  • Direct secure messaging: jose.maria@688977317724164.direct.elationemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1366711103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581031",
            "telephone_number": "646-389-8369",
            "fax_number": "646-553-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176145",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3184 Grand Concourse Apt 2D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104581031",
            "country_code": "US",
            "telephone_number": "646-389-8369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIA",
        "first_name": "JOSE",
        "middle_name": "MICHAEL",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339074",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "617047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.maria@688977317724164.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3184 Grand Concourse Apt 2D",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104581031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.