Active NPI
Mary Feiler, PNP
- Pediatric Nurse Practitioner
- Bohemia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382476-1N
- Practice address
- 3920 Veterans Memorial Hwy Ste 8
Bohemia, NY 11716-1074 - Phone
- (631) 563-8190
- Fax
- (631) 563-8194
- NPI assigned
- Sep 10, 2014
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382476-1N | NY | Primary |
| Pediatrics Physician | 208000000X | 382476 | NY |
Addresses
Primary practice location
3920 Veterans Memorial Hwy Ste 8
Bohemia, NY 11716-1074
Mailing address
3920 Veterans Memorial Hwy Ste 8
Bohemia, NY 11716-1074
Phone (631) 563-8190
Other practice location 1
649 Route 25A
Suite 3
Rocky Point, NY 11778-8983
Phone (631) 509-0671
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mary.feiler@sbcm.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382476 | NY | MD | Pediatrics Physician |
| 382476-1N | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children's Service, University Faculty Practice Corporatio | Pediatrics | Current | Accepting new patients |
| Decerina Uy MD PC | Pediatrics | Past | Accepting new patients |
Locations
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
285 W Main St
Ste 104
Sayville, NY 11782
Phone (631) 563-8190
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71168
- mary.feiler@sbcm.cernerdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- Pediatrics Physician
- Rocky Point, NY
- NPI 1639709157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1801297775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 VETERANS MEMORIAL HWY STE 8",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161074",
"telephone_number": "631-563-8190",
"fax_number": "631-563-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 VETERANS MEMORIAL HWY STE 8",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161074",
"telephone_number": "631-563-8190",
"fax_number": "631-563-8194"
}
],
"practiceLocations": [
{
"address_1": "649 Route 25A",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NY",
"postal_code": "117788983",
"country_code": "US",
"telephone_number": "631-509-0671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEILER",
"first_name": "MARY",
"credential": "PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382476-1N",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "382476",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mary.feiler@sbcm.cernerdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3920 Veterans Memorial Hwy Ste 8",
"city": "Bohemia",
"state": "NY",
"country_code": "US",
"postal_code": "117161074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.