Active NPI
Jose Michael Maria, NP, RN
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1366711103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 617047 | NY | MD | Registered Nurse |
| 339074 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose M Maria Family Health Nurse Practitioner PC | Family | Current | Accepting new patients |
| Gastroenterology and Liver Associates of Riverdale PC | Past | 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
- 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.
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1386410587
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1023272846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.