Individual provider Active NPI

Mary Gay Defuria, NP

  • Adult Health Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1740394683
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303041 Issued in NY
Practice address
7250 Janus Park Dr
Liverpool, NY 13088-4839
Phone
(315) 475-8402
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303041 NY Primary

Addresses

Primary practice location

7250 Janus Park Dr
Liverpool, NY 13088-4839

Mailing address

7250 Janus Park Dr
Liverpool, NY 13088-4839
Phone (315) 475-8402

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000412 NY Practitioner - Nurse Practitioner 1759466477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Liverpool, NY 13088-4841

7250 Janus Park Dr
Liverpool, NY 13088-4839
Phone (315) 475-8402

Hospital & facility affiliations

  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303041NYMDLicensed Practical Nurse
F303041NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Pathology, PC Current Accepting new patients
North Medical PC Current Accepting new patients
Pulmonary Health Physicians PC CurrentSince Feb 4, 2008 Accepting new patients
St Josephs Hospital Health Center CurrentSince Oct 1, 2024 Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

7250 Janus Park Dr
Liverpool, NY 13088
Phone (315) 475-8402

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

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

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

945 E Genesee St
Ste 200
Syracuse, NY 13210
Phone (315) 475-8401

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Interoperability endpoints

  • Direct secure messaging: mdefuria3628163@direct.trinity-health.org

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 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1740394683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 JANUS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884839",
            "telephone_number": "315-475-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 JANUS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884839",
            "telephone_number": "315-475-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURIA",
        "first_name": "MARY",
        "middle_name": "GAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.