Maura T Armezzani
Individual provider Active NPI Acute Care Nurse Practitioner · Johnson City, NY
NPI 1689354763 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1689354763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 432753 (NY)
- Practice address
- 30 Harrison St Ste 250
Johnson City, NY 13790-2176 - Phone
- (607) 763-6580
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Internal Medicine Group
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7424
Hospital & facility affiliations
- Strong Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916002137 | NY | Practitioner - Nurse Practitioner | 8224579461 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Group | Current |
Accepting new patients | |
| Internal Medicine Group | Current |
Accepting new patients | |
| Pulmonary Disease Clinical Group | Current |
Accepting new patients |
Locations
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- marmezzani463175@direct.urmc.rochester.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 432753 | NY | Yes |
Addresses
Primary practice location
30 Harrison St Ste 250
Johnson City, NY 13790-2176
Mailing address
101 Long Branch Cir
Liverpool, NY 13090-3257
Other practice location 1
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 763-6580
Other practice location 2
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4551
Other providers in Johnson City, NY
- Mustafa Ansari
- Vishal Anugu
- Muhammad Sajeel Anwar
- Corina Arana
- Arlene Anatalie Arisme
- Sheila C Armstrong
- Becky L Arnold
- Michael Aronis
- Hayes Allen Aronson
- Komal Arora
All providers in Johnson City, NY · Acute Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.