Mavis Osei Neequaye, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347415 Issued in NY

Practice address

140 Elgar PL Apt 16J
Bronx, NY 10475-5226

Phone

(646) 639-5613

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mneequay@montefioredirect.com
• Direct secure messaging: mavis.neequaye.1@24989.direct.athenahealth.com

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.

• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1568047926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ELGAR PL APT 16J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755226",
            "telephone_number": "646-639-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ELGAR PL APT 16J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755226",
            "telephone_number": "646-639-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEQUAYE",
        "first_name": "MAVIS",
        "middle_name": "OSEI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Neches, MD
• Veronica Necoara, MS,RDN,CDN
• Karl Patrick Neddermeyer, RPA-C
• Marilyn Nedumcheril, M.D.
• Angela Neequaye
• Roseanne Neglio, MD
• Kennan Jacob Negrete
• Eloisa Negron Rodriguez, LCSW
• Marlene Negron-Luna, LCSW
• Suanet Negron-Valdez

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.