Mary Elizabeth Queally, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

310547-01 Issued in NY

Practice address

1855 Corporal Kennedy St Apt 3E
Bayside, NY 11360-1436

Phone

(718) 644-1448

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1417725615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 CORPORAL KENNEDY ST APT 3E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601436",
            "telephone_number": "718-644-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 CORPORAL KENNEDY ST APT 3E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601436",
            "telephone_number": "718-644-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEALLY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "310547-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Ruth Price, LMSW
• Primary Care Associates, LLP
• Boris S Pugachevsky, PT
• Clins Puthussery Varghese
• Jimmy Qiu
• Queens County Physical Therapy and Wellness,PC
• Queens Eyecare Physician PC
• Queens Rehabilitation & Diagnostics
• Therese Elizabeth Quinn
• Coral Elise Quintyne, LPN

• Registered Nurse in Bayside, NY
• Providers in Bayside, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.