Individual provider Active NPI

Mara Alexis McCrossin, NP

  • Adult Health Nurse Practitioner
  • Glen Cove, NY
National Provider Identifier
1861920480
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308239 Issued in NY
Practice address
101 Saint Andrews LN
Glen Cove, NY 11542-2263
Phone
(516) 674-7300
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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 Practitioner 363LA2200X 308239 NY Primary

Addresses

Primary practice location

101 Saint Andrews LN
Glen Cove, NY 11542-2263

Mailing address

751 Hempstead Ave
West Hempstead, NY 11552-3230
Phone (516) 902-0213

Other practice location 1

751 Hempstead Ave
West Hempstead, NY 11552-3230
Phone (516) 902-0213

Other practice location 2

250 Hofstra University
Hempstead, NY 11549-2500
Phone (516) 463-6745

Other practice location 3

3236 Judith Ln
Oceanside, NY 11572-4211
Phone (516) 902-0213

Other names 1

  • Ms. Mara Alexis Finkelman-McCrossin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912000058 NY Practitioner - Nurse Practitioner 1658644778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

11 Ashford Ave
FL 2
Dobbs Ferry, NY 10522-1822
Phone (914) 269-1991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308239NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 15, 2021 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2018 Accepting new patients
Rxiv Infusions LLC CurrentSince Nov 21, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 15, 2021 Accepting new patients
Concierge RN Services, PLLC Current Accepting new patients

Locations

6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322

6010 Bay Pkwy
Fl 6
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

11 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 269-1990

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

300 Community Dr
Manhasset, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1861920480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523230",
            "telephone_number": "516-902-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT ANDREWS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422263",
            "telephone_number": "516-674-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Hempstead Ave",
            "address_purpose": "LOCATION",
            "city": "West Hempstead",
            "state": "NY",
            "postal_code": "115523230",
            "country_code": "US",
            "telephone_number": "516-902-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Hofstra University",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115492500",
            "country_code": "US",
            "telephone_number": "516-463-6745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3236 Judith Ln",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115724211",
            "country_code": "US",
            "telephone_number": "516-902-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCROSSIN",
        "first_name": "MARA",
        "middle_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "FINKELMAN-MCCROSSIN",
            "middle_name": "ALEXIS",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.