Active NPI
Mary K George
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1851747547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F303324-1
- Practice address
- 2540 Ocean Pkwy
First Floor
Brooklyn, NY 11235-7705 - Phone
- (718) 375-9174
- Fax
- (718) 375-9174
- NPI assigned
- May 11, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303324-1 | NY | Primary |
Addresses
Primary practice location
2540 Ocean Pkwy
First Floor
Brooklyn, NY 11235-7705
Mailing address
2540 Ocean Pkwy
First Floor
Brooklyn, NY 11235-7705
Phone (718) 375-9174
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303324-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1851747547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 OCEAN PKWY",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357705",
"telephone_number": "718-375-9174",
"fax_number": "718-375-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 OCEAN PKWY",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357705",
"telephone_number": "718-375-9174",
"fax_number": "718-375-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "MARY",
"middle_name": "K",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303324-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.