Active NPI
Mary O'Halloran Feeley, RN ANP
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1689924854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306144-1
- Practice address
- 4802 Tenth Ave
Maimonides Med Ctr Dept of Medicine
Brooklyn, NY 11219 - Phone
- (718) 283-7667
- Fax
- (718) 635-7439
- NPI assigned
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306144-1 | NY | Primary |
Addresses
Primary practice location
4802 Tenth Ave
Maimonides Med Ctr Dept of Medicine
Brooklyn, NY 11219
Mailing address
4802 Tenth Ave
Maimonides Med Ctr Dept of Medicine
Brooklyn, NY 11219
Phone (718) 283-7667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306144-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Interoperability endpoints
- maryfeeley@mai.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1346354370
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1689924854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 TENTH AVE",
"address_2": "MAIMONIDES MED CTR DEPT OF MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-7667",
"fax_number": "718-635-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 TENTH AVE",
"address_2": "MAIMONIDES MED CTR DEPT OF MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-7667",
"fax_number": "718-635-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEELEY",
"first_name": "MARY",
"middle_name": "O'HALLORAN",
"credential": "RN ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306144-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.