Individual provider Active NPI

Maria Angela Flores, NP

  • Adult Health Nurse Practitioner
  • Wyckoff, NJ
National Provider Identifier
1861009342
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309864 Issued in NY
Practice address
482 William Way N
Wyckoff, NJ 07481-1722
Phone
(917) 361-6537
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 309864 NY Primary

Addresses

Primary practice location

482 William Way N
Wyckoff, NJ 07481-1722

Mailing address

482 William Way N
Wyckoff, NJ 07481-1722
Phone (917) 361-6537

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcancio@northwell.edu Direct Lenox Hill Hospital

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309864NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mflores61188@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861009342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 WILLIAM WAY N",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811722",
            "telephone_number": "917-361-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 WILLIAM WAY N",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811722",
            "telephone_number": "917-361-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARIA ANGELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcancio@northwell.edu",
            "affiliation": "Y",
            "endpointDescription": "e-mail",
            "affiliationName": "Lenox Hill Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 E 77th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100751850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.