Maureen Veronica McCann, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340175 Issued in NY

Practice address

150 Dark Hollow Rd
Port Jefferson, NY 11777-2048

Phone

(631) 473-5400

NPI assigned

May 22, 2007

Last updated

Oct 23, 2011By the provider in NPPES

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

Other names 1

• Maureen Veronica Andreozzi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1639388044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SHIPYARD LN",
            "address_2": "UNIT 3M",
            "city": "EAST MARION",
            "state": "NY",
            "postal_code": "119391259",
            "telephone_number": "631-477-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DARK HOLLOW RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772048",
            "telephone_number": "631-473-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MAUREEN",
        "middle_name": "VERONICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "ANDREOZZI",
            "middle_name": "VERONICA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Jane Matter, DMD
• Matthew Franco O.T.P.C.
• Steve Theodore Matthews, DO
• Gabrielle McAndrews, PSY.D.
• Gloria McCann Fortune, NP
• Maryellen McCarthy
• Tara McConnon, DO
• Darlene McDay, AGNP-C
• Helena McDermott, MSED
• Brian McGinley, MD

• Gerontology Nurse Practitioner in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.