Individual provider Active NPI

Mary Feiler, PNP

  • Pediatric Nurse Practitioner
  • Bohemia, NY
National Provider Identifier
1801297775
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382476-1N Issued in NY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316001815 NY Practitioner - Nurse Practitioner 3173939279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
382476NYMDPediatrics Physician
382476-1NNYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children's Service, University Faculty Practice Corporatio Pediatrics CurrentSince Feb 23, 2021 Accepting new patients
Decerina Uy MD PC Pediatrics PastSince Jan 26, 2020 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71168
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.