Individual provider Active NPI

Mary Anne Corkery, RN

  • Registered Nurse
  • Woodside, NY
National Provider Identifier
1942583828
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
419895 Issued in NY
Practice address
4164 63Rd St
2ND Floor
Woodside, NY 11377-5043
Phone
(347) 933-8423
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 419895 NY Primary

Addresses

Primary practice location

4164 63Rd St
2ND Floor
Woodside, NY 11377-5043

Mailing address

4164 63Rd St
2ND Floor
Woodside, NY 11377-5043
Phone (347) 933-8423

Other names 1

  • Maureen Corkery Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
419895NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1942583828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 63RD ST",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775043",
            "telephone_number": "347-933-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 63RD ST",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775043",
            "telephone_number": "347-933-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKERY",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "419895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "CORKERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.