Active NPI
Maryann D'Amara, DPM
- Podiatrist
- Selden, NY
National Provider Identifier
1790852671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008068228 | Medicaid | NY |
Other names 1
- Dr. Maryann Damara
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
| License | State | Type | Specialty |
|---|---|---|---|
| N003628 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baraban & Baraban | Podiatrist | Past | Accepting new patients |
| Dr Brian D Baraban | Podiatrist | Past | Accepting new patients |
| Plaza Podiatry PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Podiatrist
- Selden, NY
- NPI 1063581379
-
- Durable Medical Equipment & Medical Supplies
- Selden, NY
- NPI 1881146546
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Selden, NY
- NPI 1114350212
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.