Active NPI
Mary Brickers
- Adult Companion
- East Moriches, NY
National Provider Identifier
1467913202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 250 Montauk Hwy
East Moriches, NY 11940-1141 - Phone
- (631) 400-9612
- Fax
- (631) 400-9613
- NPI assigned
- Mar 26, 2019
- Last updated
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary |
Addresses
Primary practice location
250 Montauk Hwy
East Moriches, NY 11940-1141
Mailing address
250 Montauk Hwy
East Moriches, NY 11940-1141
Phone (631) 400-9612
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hcpsuffolk@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1467913202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MONTAUK HWY",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401141",
"telephone_number": "631-400-9612",
"fax_number": "631-400-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MONTAUK HWY",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401141",
"telephone_number": "631-400-9612",
"fax_number": "631-400-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKERS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hcpsuffolk@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "250 Montauk Hwy",
"city": "East Moriches",
"state": "NY",
"country_code": "US",
"postal_code": "119401141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.