Individual provider Active NPI

Maryann D'Amara, DPM

  • Podiatrist
  • Selden, NY
National Provider Identifier
1790852671
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003628 Issued in NY
Practice address
325 Middle Country Rd
Suite 4
Selden, NY 11784-2545
Phone
(631) 320-1990
Fax
(631) 320-1988
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003628 NY Primary

Addresses

Primary practice location

325 Middle Country Rd
Suite 4
Selden, NY 11784-2545

Mailing address

1001 Mildred Drive
Baldwin, NY 11510-5045
Phone (516) 868-7699

Other identifiers 1

IdentifierTypeStateIssuer
008068228MedicaidNY

Other names 1

  • Dr. Maryann Damara Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003628NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baraban & Baraban Podiatrist Past Accepting new patients
Dr Brian D Baraban Podiatrist Past Accepting new patients
Plaza Podiatry PLLC PastSince May 21, 2014 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1790852671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MILDRED DRIVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105045",
            "telephone_number": "516-868-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-320-1990",
            "fax_number": "631-320-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMARA",
        "first_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "DAMARA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.