Maryellen Keefe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042413 Issued in NY

Practice address

1016 Brown St Ste 203
Peekskill, NY 10566-3606

Phone

(914) 737-1444

Fax

(914) 788-1370

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932245925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BROWN ST STE 203",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663606",
            "telephone_number": "914-737-1444",
            "fax_number": "914-788-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BROWN ST STE 203",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663606",
            "telephone_number": "914-737-1444",
            "fax_number": "914-788-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "MARYELLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak V Kapur, MD
• Paul J Kaye
• Laura Veronica Kazukenus, PHARMD
• Frederick W. Keane, LCSW
• Barbara Ellen Kearney, LMHC
• Judith A Kelleher-Merend, LCSW
• Anne W Kelsey, LMSW
• Jonathan Kenney
• Diana D. Ketchum, STUDENT
• Kiddin Around Town Inc

• General Practice Dentistry in Peekskill, NY
• Providers in Peekskill, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.