Mayra Jeannette Irizarry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

316824 Issued in NY

Practice address

190 Mercer St
New York, NY 10012-1502

Phone

(212) 677-3400

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenwich House

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
  • NPI 1790410843
  NPD (past)

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1861909897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MERCER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121502",
            "telephone_number": "212-677-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MERCER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121502",
            "telephone_number": "212-677-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "MAYRA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Daniel Irish, MD
• Kendra Marie Irizarry Pagan, DMD
• Betsy Maribel Irizarry, OTR/L
• Darving C Irizarry, LMSW
• Gianna Irizarry
• Raphael Dario Irizarry
• Eric Vincent Irkliewskij, LMSW
• Krithi Irmady, M.D
• Irmas Associates LLC
• Madeline Irmen, PT, DPT

• Licensed Practical Nurse in New York, NY
• Providers in New York, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.