Mary C Barry, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002344-1 Issued in NY

Practice address

444 Merrick Rd
Suite 100
Lynbrook, NY 11563-2460

Phone

(516) 872-2150

Fax

(516) 872-2151

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary C Correll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Group Services 2000 LLC

  • Internal Medicine Physician
  • Lynbrook, NY
  • NPI 1215257266
  NPD (past)
• Comprehensive Medical Services New York 2008, PLLC

  • Internal Medicine Physician
  • Lynbrook, NY
  • NPI 1134454960
  NPD (past)

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1588056030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 COMMERCE PARK",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225833",
            "telephone_number": "877-896-9301",
            "fax_number": "216-896-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MERRICK RD",
            "address_2": "SUITE 100",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632460",
            "telephone_number": "516-872-2150",
            "fax_number": "516-872-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002344-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CORRELL",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celeste A Barker, LCSW-R
• Jalisa Arlene Barnes, PSYD
• Jennifer Ann Barongi
• Linda Jane Barron, F.N.P.,W.H.N.P.
• Ma Andrisa Perez Barroso, R.N.
• Rosal Adelaida Basa, RN
• Emily Basile, PHARMD
• Angelina Battaglia, LMHC
• Samantha Paige Bavaro
• Elizabeth Becker, PT

• Physician Assistant in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.