Mary Ellen Dyer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208649 Issued in NY

Practice address

1-3 Henry W Dubois Dr
Suite 1
New Paltz, NY 12561-1420

Phone

(845) 255-0977

Fax

(845) 255-0933

NPI assigned

Jul 26, 2006

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 identifiers 2

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

Specialty

Family Practice

Education

New York Medical College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment Care Compare group NPD
• Dr. Mary Dyer

  • Preferred Provider Organization
  • New Paltz, NY
  • NPI 1801203757
  NPD (past) Authorized official
• William Heffernan,M.D.

  • Family Medicine Physician
  • Highland, NY
  • NPI 1699804427
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740203884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-3 HENRY W DUBOIS DR",
            "address_2": "SUITE 1",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611420",
            "telephone_number": "845-255-0977",
            "fax_number": "845-255-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-3 HENRY W DUBOIS DR",
            "address_2": "SUITE 1",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611420",
            "telephone_number": "845-255-0977",
            "fax_number": "845-255-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951404",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "208649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Mary Dyer
• Dr. Peter D Lichtenstein D.C., L.Ac., PC
• Dr. Peter D Lichtenstein D.C., L.Ac., PC
• Peter Dubitsky, L.AC.
• Linda Susan Dubois-Kraus, LCSW
• Linda Rose Eagleton, LCSW
• Alison Kay Easton
• Elinor B Descovich, O.D., P.C. (New Paltz Eye Care)
• Eve-Marie Elkin-Schaffer, LMSW
• Empire Lactation, Inc.

• Family Medicine Physician in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.