NPIMap

Organization Active NPI

Dr. Mary Dyer

  • Preferred Provider Organization
  • New Paltz, NY
National Provider Identifier
1801203757
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2086491 Issued in NY
Legal business name
DR. MARY DYER
Practice address
1-3 Henry W Dubois Dr
New Paltz, NY 12561-1420
Phone
(845) 255-0977
Fax
(845) 255-0933
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Mary Ellen Dyer, M.D.NPI 1740203884
Title
M.D.
Phone
(845) 255-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2086491 NY Primary

Addresses

Primary practice location

1-3 Henry W Dubois Dr
New Paltz, NY 12561-1420

Mailing address

1-3 Henry W Dubois Dr
New Paltz, NY 12561-1420
Phone (845) 255-0977

National Provider Directory

National Provider Directory

Locations

1-3 Henry W Dubois Dr
New Paltz, NY 12561
Phone (845) 255-0977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1801203757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-3 HENRY W DUBOIS DR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611420",
            "telephone_number": "845-255-0977",
            "fax_number": "845-255-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-3 HENRY W DUBOIS DR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611420",
            "telephone_number": "845-255-0977",
            "fax_number": "845-255-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY DYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "845-255-0977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "2086491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.