Individual provider Active NPI

Maureen Gara, NP

  • Women's Health Nurse Practitioner
  • Hudson, NY
National Provider Identifier
1912005810
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420638 Issued in NY
Practice address
6 Aitken Ave
Hudson, NY 12534-2602
Phone
(518) 434-5678
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420638 NY Primary

Addresses

Primary practice location

6 Aitken Ave
Hudson, NY 12534-2602

Mailing address

6 Aitken Ave
Hudson, NY 12534-2602
Phone (518) 434-5678

Other identifiers 1

IdentifierTypeStateIssuer
02324514MedicaidNY

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
I20100719000109 NY Practitioner - Nurse Practitioner 1658403282 Reassigns benefits to 1 organization
Practice locations: Hudson, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000376NYMDAthletic Trainer
F420638NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital Past Accepting new patients
Continence Management LLC Women'S Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maureen.gara.p6@direct.usppny.nextgenshare.com

Organizations & group practices 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1912005810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AITKEN AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342602",
            "telephone_number": "518-434-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AITKEN AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342602",
            "telephone_number": "518-434-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARA",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02324514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.