Mary Dyer MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208649 Issued in NY

Legal business name

MARY DYER MD PLLC

Practice address

5 Lafko Dr
Poughkeepsie, NY 12603-1413

Phone

(845) 905-9389

Fax

(845) 302-8648

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Dyer, MD

Title

Sole Proprietor

Phone

(845) 905-9389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1861801862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAFKO DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031413",
            "telephone_number": "845-905-9389",
            "fax_number": "845-302-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAFKO DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031413",
            "telephone_number": "845-905-9389",
            "fax_number": "845-302-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DYER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-905-9389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Martini
• Amelia Martinko, M.D.
• Emily Rose Martinson, COTA
• Ellen J. Marx, PH.D.
• James Louis Marxer, NBC/HIS
• Mary Mantilla LCSW, PLLC
• Bruce D Marzullo, DDS
• John Mascia, MD
• Joan Masotti
• Marcia Masri

• Family Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.