Mary Immaculate Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

181564 Issued in NY

Legal business name

MARY IMMACULATE HOSPITAL

Practice address

15211 89TH Ave
Jamaica, NY 11432-3730

Phone

(718) 558-2701

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Usha C Ruder

Title

Chaiperson

Phone

(718) 558-2701

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parul Anup Gheewala, M.D.

  • Anatomic Pathology Physician
  • Jamaica, NY
  • NPI 1255546560
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679696330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BARRYPARK CT",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071501",
            "telephone_number": "516-741-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 89TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323730",
            "telephone_number": "718-558-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDER",
        "authorized_official_first_name": "USHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHAIPERSON",
        "authorized_official_telephone_number": "718-558-2701",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "181564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory K Martinez, LMSW
• Tanika Martinez, LCSW
• Diane Martori, LCSW
• Mohammad Golam Maruf, MD
• Mary Immaculate Hospital
• George E. Mascioli, O.D.
• Alyssa Rose Mascolo
• Stephen Charles Masiello, LMSW
• Adrienne Mason
• Faisal Masood, DC

• General Acute Care Hospital in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.