Individual provider Active NPI

Maryirene I Flynn, MD

  • Orthopaedic Surgery Physician
  • Staten Island, NY
National Provider Identifier
1760445001
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
179920 Issued in NY
Practice address
1551 Richmond Rd
Staten Island, NY 10304
Phone
(718) 351-6500
Fax
(718) 351-7672
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 179920 NY Primary

Addresses

Primary practice location

1551 Richmond Rd
Staten Island, NY 10304

Mailing address

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

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
I20110322000304 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3577746015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 378-6148

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Staten Island Orthopedics & Sports Medicine P.C Orthopaedic Surgery CurrentSince Jan 1, 1980 Accepting new patients
Amboy Medical Practice PC CurrentSince Mar 1, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jul 13, 2021 Accepting new patients
Amboy Medical Practice PC CurrentSince Mar 1, 2017 Accepting new patients
Montefiore Medical Center Orthopaedic Surgery CurrentSince Jul 13, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4141 Carpenter Ave
Bronx, NY 10466
Phone (718) 920-9020

9920 4th Ave
Ste 102
Brooklyn, NY 11209
Phone (718) 238-9873

1551 Richmond Rd
#S
Staten Island, NY 10304
Phone (718) 351-6500

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

2052 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-6500

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: maryflynn@montefioredirect.com

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1760445001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-351-6500",
            "fax_number": "718-351-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-351-6500",
            "fax_number": "718-351-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MARYIRENE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "179920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.