Individual provider Active NPI

Mary C Daye, M.D.

  • Internal Medicine Physician
  • Liverpool, NY
National Provider Identifier
1720050107
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
131880 Issued in NY
Practice address
103 Electronics Pkwy
Liverpool, NY 13088-6010
Phone
(315) 457-2141
Fax
(315) 453-6059
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 131880 NY Primary

Addresses

Primary practice location

103 Electronics Pkwy
Liverpool, NY 13088-6010

Mailing address

4921 Briarwood LN
Manlius, NY 13104-1307
Phone (315) 637-5986

Other identifiers 1

IdentifierTypeStateIssuer
00648146MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000333 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3870480155 Reassigns benefits to 2 organizations
Practice locations: Liverpool, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

103 Electronics Pkwy
Liverpool, NY 13088-6010
Phone (315) 457-2141

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131880NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC Internal Medicine CurrentSince Nov 4, 2018 Accepting new patients
St. Joseph'S Physician Health, P.C. Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Cprnc, LLC Past Accepting new patients
Cap Medical, LLC Past Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

103 Electronics Pkwy
Liverpool, NY 13088
Phone (315) 457-2141

4800 Bear Rd
Liverpool, NY 13088
Phone (315) 391-6645

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1720050107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BRIARWOOD LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041307",
            "telephone_number": "315-637-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ELECTRONICS PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886010",
            "telephone_number": "315-457-2141",
            "fax_number": "315-453-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYE",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "131880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00648146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.