Individual provider Active NPI

Maria Mercedes Cabodevilla-Conn, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • White Plains, NY
National Provider Identifier
1457465585
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
214095 Issued in NY
Practice address
14 Mamaroneck Ave FL 2
White Plains, NY 10601-3367
Phone
(914) 949-5555
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 214095 NY Primary

Addresses

Primary practice location

14 Mamaroneck Ave FL 2
White Plains, NY 10601-3367

Mailing address

14 Mamaroneck Ave FL 2
White Plains, NY 10601-3367
Phone (914) 949-5555

Other practice location 1

1010 N Broadway
Yonkers, NY 10701-1330
Phone (914) 504-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040723000236 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6204816853 Reassigns benefits to 1 organization
I20081210000016 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6204816853 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salerno Medical Associates, LLC CurrentSince Jan 19, 2022 Accepting new patients
New York Neurology Associates, P.C. CurrentSince Oct 1, 2012 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Jan 19, 2022 Accepting new patients
Nyconn Orthopaedic & Rehabalitation Specialists, PLLC Past Accepting new patients
Citimed Complete Medical Care PC PastSince Jan 12, 2025 Accepting new patients
Virgin Island Neurology, PC PastSince Jul 16, 2023 Accepting new patients
Ani Orthopaedics, P.C. Past Accepting new patients
Roseville Medical Society LLC Past Accepting new patients
Nyconn Orthopaedic & Rehabilitation Specialists Past Accepting new patients

Locations

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

2965 Long Beach Rd
Oceanside, NY 11572
Phone (516) 593-8953

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1457465585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAMARONECK AVE FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013367",
            "telephone_number": "914-949-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAMARONECK AVE FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013367",
            "telephone_number": "914-949-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011330",
            "country_code": "US",
            "telephone_number": "914-504-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABODEVILLA-CONN",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "214095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.