Active NPI
Maura Tierney, FNP-C
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1932802048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351322-01
- Practice address
- 102 5TH Ave
New York, NY 10011-6902 - Phone
- (347) 778-2542
- NPI assigned
- Mar 27, 2023
- 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 | F351322-01 | NY | Primary |
Addresses
Primary practice location
102 5TH Ave
New York, NY 10011-6902
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Other practice location 1
16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351322-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Medical Practice, PC | Past | Accepting new patients | |
| Empire Medical Practice, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1932802048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S DESPLAINES ST STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116902",
"telephone_number": "347-778-2542"
}
],
"practiceLocations": [
{
"address_1": "16 E 40th St Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100160113",
"country_code": "US",
"telephone_number": "646-751-7755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIERNEY",
"first_name": "MAURA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351322-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.