Individual provider Active NPI

Mary Skelly-Noto, FNP

  • Family Nurse Practitioner
  • Yorktown Heights, NY
National Provider Identifier
1396285730
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341583 Issued in NY
Practice address
2000 Maple Hill St
Yorktown Heights
Yorktown Heights, NY 10598-4176
Phone
(914) 450-5956
NPI assigned
Mar 5, 2017
Last updated
Mar 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341583 NY Primary

Addresses

Primary practice location

2000 Maple Hill St
Yorktown Heights
Yorktown Heights, NY 10598-4176

Mailing address

2000 Maple Hill St
Yorktown Heights
Yorktown Heights, NY 10598-4176
Phone (914) 450-5956

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
I20190307002667 NY Practitioner - Nurse Practitioner 7416296520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341583NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yorktown Adult & Pediatric Medicine CurrentSince Feb 9, 2019 Accepting new patients

Locations

2000 Maple Hill St
Yorktown Heights, NY 10598
Phone (914) 245-0256

2000 Maple Hill St
Ste 102
Yorktown Heights, NY 10598

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1396285730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MAPLE HILL ST",
            "address_2": "YORKTOWN HEIGHTS",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984176",
            "telephone_number": "914-450-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MAPLE HILL ST",
            "address_2": "YORKTOWN HEIGHTS",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984176",
            "telephone_number": "914-450-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY-NOTO",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.