Individual provider Active NPI

Mayra Dross, REGISTERED NURSE

  • Registered Nurse
  • Brentwood, NY
National Provider Identifier
1487395679
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
321175-01 Issued in NY
Practice address
91 Cocoanut St
Brentwood, NY 11717-7201
Phone
(631) 575-9261
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 321175-01 NY Primary

Addresses

Primary practice location

91 Cocoanut St
Brentwood, NY 11717-7201

Mailing address

91 Cocoanut St
Brentwood, NY 11717-7201
Phone (631) 575-9261

Other names 1

  • Ms. Mayra Ali-Dross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Brentwood Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
321175-01NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1487395679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COCOANUT ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177201",
            "telephone_number": "631-575-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COCOANUT ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177201",
            "telephone_number": "631-575-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSS",
        "first_name": "MAYRA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "321175-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brentwood",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "91 Cocoanut St",
            "city": "Brentwood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117177201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "ALI-DROSS",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.