Active NPI
Mary Jean Spinelli, MD
- Obstetrics & Gynecology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 158974
- Practice address
- 1023 Forest Hill Rd
Staten Island, NY 10314-6323 - Phone
- (718) 981-0300
- Fax
- (718) 815-3961
- NPI assigned
- Mar 6, 2007
- Last updated
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 158974 | NY | Primary |
Addresses
Primary practice location
1023 Forest Hill Rd
Staten Island, NY 10314-6323
Mailing address
1032 Forest Hill Road
Staten Island, NY 10314
Phone (718) 981-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158974 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Bridgeview Dermatology, PLLC | Past | Accepting new patients | |
| Footprints Pediatric Medicine, PC | Past | Accepting new patients |
Locations
100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
227 Madison St
New York, NY 10002
Phone (212) 238-7000
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
50 Water St
Fl 3
New York, NY 10004
165 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 616-0999
Interoperability endpoints
- mspinelli147291@nychhc.direct-ci.com
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
dba Cumberland Diagnostic & Treatment Center
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Procedural Dermatology Physician
- Staten Island, NY
- NPI 1003349986
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1881486298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1871623363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 FOREST HILL ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-981-0300",
"fax_number": "718-815-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 FOREST HILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146323",
"telephone_number": "718-981-0300",
"fax_number": "718-815-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINELLI",
"first_name": "MARY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "158974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.