Individual provider Active NPI

Mariana Negrila, NP

  • Primary Care Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1437490620
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
7268 Issued in CT
Practice address
1747 Summer St
Stamford, CT 06905-5144
Phone
(917) 270-9812
NPI assigned
Mar 13, 2013
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306350 NY
Gerontology Nurse Practitioner 363LG0600X 340879 NY
Primary Care Nurse Practitioner 363LP2300X 7268 CT Primary

Addresses

Primary practice location

1747 Summer St
Stamford, CT 06905-5144

Mailing address

1747 Summer St
Stamford, CT 06905-5144
Phone (917) 270-9812

Other practice location 1

7901 Broadway
A1-16
Elmhurst, NY 11373-1329
Phone (718) 334-2490

Other practice location 2

9317 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone (718) 424-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180405000371 CT Practitioner - Nurse Practitioner 1355646340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340879NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariana Negrila DNP PC Primary Care CurrentSince Jul 12, 2021 Accepting new patients

Locations

1747 Summer St
Stamford, CT 06905
Phone (203) 424-4959

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1437490620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055144",
            "telephone_number": "917-270-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055144",
            "telephone_number": "917-270-9812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway",
            "address_2": "A1-16",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-2490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9317 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727943",
            "country_code": "US",
            "telephone_number": "718-424-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRILA",
        "first_name": "MARIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306350",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340879",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.