Individual provider Active NPI

Vida Oduro-McCue, NP-C

  • Adult Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1871785212
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304309-1 Issued in NY
Practice address
3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Phone
(914) 949-1199
Fax
(914) 949-1245
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 493926 NY
Adult Health Nurse Practitioner 363LA2200X F304309-1 NY Primary

Addresses

Primary practice location

3 Barker Ave
4TH Floor
White Plains, NY 10601-1509

Mailing address

3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Phone (914) 949-1199

Other names 1

  • Vida O McCue Former 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
I20070917000078 NY Practitioner - Nurse Practitioner 0547354946 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
493926NYMDRegistered Nurse
304309NYMDRadiation Oncology Physician
F304309-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care at Home PC CurrentSince Jul 4, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 4, 2025 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 4, 2025 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640

5065 Wooster Rd
Cincinnati, OH 45226

Interoperability endpoints

  • Direct secure messaging: vida.oduro-mccue.1@30409.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1871785212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODURO-MCCUE",
        "first_name": "VIDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "493926",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304309-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIDA",
            "last_name": "MCCUE",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.