Individual provider Active NPI

Flore Marie Menardy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomingburg, NY
National Provider Identifier
1457401952
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400929 Issued in NY
Practice address
476 Burlingham Road
Bloomingburg, NY 12721
Phone
(917) 744-4006
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F40029 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400929 NY Primary

Addresses

Primary practice location

476 Burlingham Road
Bloomingburg, NY 12721

Mailing address

476 Burlingham Rd
Bloomingburg, NY 12721-5011

Other practice location 1

4102 13th Ave
Brooklyn, NY 11219-1389
Phone (718) 415-4845

Other identifiers 1

IdentifierTypeStateIssuer
02916645MedicaidNY

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
I20101029000008 NY Practitioner - Nurse Practitioner 5496949943 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F40029NYMDPsychiatric/Mental Health Nurse Practitioner
F400929NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Support LLC CurrentSince Jul 6, 2024 Accepting new patients
Young Adult Institute, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Community Awareness Network for a Drugfree Life and Environment Inc CurrentSince Jun 30, 2023 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network PastSince May 16, 2021 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

4403 15th Ave
Ste 499
Brooklyn, NY 11219
Phone (718) 400-9077

545 Broadway
Ste 2B
Brooklyn, NY 11206
Phone (718) 400-9077

120 N Main St
Ste 301
New City, NY 10956
Phone (845) 608-3288

120 N Main St
Ste 303
New City, NY 10956
Phone (845) 634-6677

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Interoperability endpoints

  • Direct secure messaging: fmenardy@hiemail.healtheconnections.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1457401952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 BURLINGHAM RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127215011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 BURLINGHAM ROAD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "12721",
            "telephone_number": "917-744-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191389",
            "country_code": "US",
            "telephone_number": "718-415-4845",
            "fax_number": "718-415-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENARDY",
        "first_name": "FLORE MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F40029",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingburg, NY

Sources for this page

Verify at the official NPI Registry.