Active NPI
Mary Woo, M.D.
- Pediatrics Physician
- Peekskill, NY
National Provider Identifier
1447276191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 225416
- Practice address
- 1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913 - Phone
- (914) 734-8800
- Fax
- (914) 734-8860
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 225416 | NY | Primary |
Addresses
Primary practice location
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Mailing address
1037 Main St
Credentialing
Peekskill, NY 10566-2913
Phone (914) 734-8858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473038 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225416 | NY | MD | Pediatrics Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Westchester Park Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
Networks
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mary.woo.1@32321.direct.athenahealth.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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Pediatrics Physician
- White Plains, NY
- NPI 1497891139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1447276191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "CREDENTIALING",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8858",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "914-734-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "225416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473038",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.