Active NPI
Maureen Anne Boller Delaney, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Jackson Heights, NY
National Provider Identifier
1629052972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400514 - 1
- Practice address
- 75-20 Astoria Blvd.
Jackson Heights, NY 11370 - Phone
- (718) 888-6794
- Fax
- (718) 565-8392
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400514 - 1 | NY | Primary |
Addresses
Primary practice location
75-20 Astoria Blvd.
Jackson Heights, NY 11370
Mailing address
314 Foster Ave
Sayville, NY 11782-3153
Phone (917) 837-2551
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400514 - 1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1629052972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 FOSTER AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823153",
"telephone_number": "917-837-2551",
"fax_number": "718-565-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-20 ASTORIA BLVD.",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11370",
"telephone_number": "718-888-6794",
"fax_number": "718-565-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLER DELANEY",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "NPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400514 - 1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.