Mary Elizabeth Goez
Individual provider Active NPI Family Nurse Practitioner · North New Hyde Park, NY
NPI 1831916741 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1831916741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 354395 (NY)
- Practice address
- 2001 Marcus Ave Ste W290
North New Hyde Park, NY 11042-1098 - Phone
- (516) 465-5255
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250212003582 | NY | Practitioner - Nurse Practitioner | 6406386952 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354395 | NY | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients |
Locations
376 E Main St
Bay Shore, NY 11706
Phone (631) 396-7000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
2001 Marcus Ave
Ste W290
North New Hyde Park, NY 11042
Phone (516) 238-9282
300 Community Dr
Plandome, NY 11030
222 E Middle Country Rd
Ste 106
Smithtown, NY 11787
Phone (631) 439-5437
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mgoez358424@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 354395 | NY | Yes |
Addresses
Primary practice location
2001 Marcus Ave Ste W290
North New Hyde Park, NY 11042-1098
Mailing address
292 Roosevelt Ave
Freeport, NY 11520-5414
Phone (516) 287-0754
Other names
- Mary Elizabeth Walsh
Other providers in North New Hyde Park, NY
- Brittany Bascetta
- William Bercha
- Paola Jelena Burburan
- Carebuilders at Home, LLC
- Ankuri Desai
- Karen Hagerman
- Ann Hefferon Kilcarr
- Prarthita Jain
- John Akhnoukh MD PC
- Shatoy Lightfoot
All providers in North New Hyde Park, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.