Individual provider Active NPI

Mariama-Seray Binta Barrie, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1790349512
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344097 Issued in NY
Practice address
50 Eastdale Avenue
Poughkeepsie, NY 12603
Phone
(845) 437-5000
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344097 NY Primary

Addresses

Primary practice location

50 Eastdale Avenue
Poughkeepsie, NY 12603

Mailing address

47 Riverdale Ave Apt A328
Yonkers, NY 10701-3665
Phone (914) 619-6646

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F344097NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Nov 4, 2019 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Nov 4, 2019 Accepting new patients

Locations

50 Eastdale Ave N
Poughkeepsie, NY 12603
Phone (845) 437-5000

1 Webster Ave
Ste 307
Poughkeepsie, NY 12601
Phone (845) 471-1002

1 Webster Ave
Ste 301
Poughkeepsie, NY 12601
Phone (845) 483-5858

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Organizations & group practices 2

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1790349512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 RIVERDALE AVE APT A328",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013665",
            "telephone_number": "914-619-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTDALE AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-437-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIE",
        "first_name": "MARIAMA-SERAY",
        "middle_name": "BINTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.