Individual provider Active NPI

Mona Mary O'Shea

  • Registered Nurse
  • New York, NY
National Provider Identifier
1730724865
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
627907 Issued in NY
Practice address
242 E 2ND St
New York, NY 10009-8127
Phone
(212) 780-9008
Fax
(212) 228-6361
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 627907 NY Primary

Addresses

Primary practice location

242 E 2ND St
New York, NY 10009-8127

Mailing address

242 E 2ND St
New York, NY 10009-8127
Phone (212) 780-9008

Other practice location 1

551 Warren St
Brooklyn, NY 11217-2723
Phone (718) 237-5000 ext. 8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
627907NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Access, Inc. CurrentSince Nov 17, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1730724865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E 2ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098127",
            "telephone_number": "212-780-9008",
            "fax_number": "212-228-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E 2ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098127",
            "telephone_number": "212-780-9008",
            "fax_number": "212-228-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Warren St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172723",
            "country_code": "US",
            "telephone_number": "718-237-5000 x8206",
            "fax_number": "718-237-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "MONA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.