Active NPI
Brittany Mauro, NP
- Family Nurse Practitioner
- Circleville, NY
National Provider Identifier
1902531627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349840
- Practice address
- 2142 Route 302
Circleville, NY 10919-3239 - Phone
- (845) 888-2200
- NPI assigned
- Jul 18, 2022
- Last updated
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 349840 | NY | Primary |
Addresses
Primary practice location
2142 Route 302
Circleville, NY 10919-3239
Mailing address
111 Maltese Dr
Middletown, NY 10940-2141
Phone (845) 342-4774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349840 | Other | NY | NY LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349840 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients |
Locations
2142 Route 302
Circleville, NY 10919
Phone (845) 888-2200
111 Maltese Dr
Middletown, NY 10940
2930 State Route 209
Wurtsboro, NY 12790
Phone (845) 888-2200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1902531627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402141",
"telephone_number": "845-342-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 ROUTE 302",
"city": "CIRCLEVILLE",
"state": "NY",
"postal_code": "109193239",
"telephone_number": "845-888-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "BRITTANY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE",
"identifier": "349840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Circleville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.