Individual provider Active NPI

Mary Jean Spinelli, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1871623363
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
158974 Issued in NY
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000469 NY Practitioner - Obstetrics/Gynecology 9830235191 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158974NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Aug 31, 2021 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Sep 4, 2013 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 31, 2021 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 PastSince May 25, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.