Individual provider Active NPI

Mary Virginia Strakosch, PNP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1861564262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
380209 Issued in NY
Practice address
150 E 45TH St
New York, NY 10017-3115
Phone
(212) 949-4857
Fax
(212) 513-6022
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 380209 NY Primary

Addresses

Primary practice location

150 E 45TH St
New York, NY 10017-3115

Mailing address

8 Stockton LN
Stony Brook, NY 11790-3322
Phone (631) 751-1697

Other identifiers 3

IdentifierTypeStateIssuer
000000087693OtherNYGHI HMO
PC4140OtherNYCENTER CARE
38020901OtherNYNEIGHBORHOOD HEALTH PROVI

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

LicenseStateTypeSpecialty
380209NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861564262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STOCKTON LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903322",
            "telephone_number": "631-751-1697",
            "fax_number": "631-675-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 45TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173115",
            "telephone_number": "212-949-4857",
            "fax_number": "212-513-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAKOSCH",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "380209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000087693",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER CARE",
            "identifier": "PC4140",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PROVI",
            "identifier": "38020901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.