Mary Ellen McCormick Kunis, MS.ED

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

30 Ithaca St
Lindenhurst, NY 11757-3427

Phone

(631) 226-4361

NPI assigned

Mar 1, 2007

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

• Ms. Mary Ellen McCormack-Kunis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1720116619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ITHACA ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573427",
            "telephone_number": "631-226-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ITHACA ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573427",
            "telephone_number": "631-226-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK KUNIS",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "MS.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ELLEN",
            "last_name": "MCCORMACK-KUNIS",
            "prefix": "MS.",
            "credential": "MS.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine L Matthews, MD
• Aimee Suzanne Mattiolo, RD
• Susan Lee Maurer, MS, ED., BCBA
• Maria Mauro, MSED
• Aaliyah Jnay McCall
• Laura McDonald
• Shannon McDonald
• Jean M. McDonnell, RN
• Emily McGibbon
• Jason McGowan

• Specialist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.