Mary Andrea Panopoulos

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F305486-1 Issued in NY

Practice address

82 2ND St
Garden City, NY 11530-4416

Phone

(516) 996-5574

NPI assigned

Sep 29, 2010

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1760791461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 2ND ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304416",
            "telephone_number": "516-996-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 2ND ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304416",
            "telephone_number": "516-996-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOPOULOS",
        "first_name": "MARY",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Palmieri, DO
• Petros Panagos, DDS
• Robert Panariello, PT
• Constantine Antony Pandazis, D.C.
• Sarai Paniccia, D.O.
• Ani Panoyan, O.D.
• Ariana Nicole Papa, LMSW
• Angela Papafragkou-Kapetanos, DDS
• Cristina De Michele Pape, RPA-C
• Dean Paul Pappas, MD

• Adult Health Nurse Practitioner in Garden City, NY
• Providers in Garden City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.