Active NPI
Maryke Louise Troast, CPNP
- Pediatric Nurse Practitioner
- Goshen, NY
National Provider Identifier
1962700401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381773-1
- Practice address
- 30 Hatfield LN
Suite 101
Goshen, NY 10924-6766 - Phone
- (845) 294-2733
- NPI assigned
- Mar 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 563529-1 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | F381773-1 | NY | Primary |
Addresses
Primary practice location
30 Hatfield LN
Suite 101
Goshen, NY 10924-6766
Mailing address
30 Hatfield LN
Suite 101
Goshen, NY 10924-6766
Phone (845) 294-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02734509 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563529-1 | NY | MD | Registered Nurse |
| F381773-1 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1962700401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "SUITE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-294-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "SUITE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-294-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROAST",
"first_name": "MARYKE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "563529-1",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381773-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02734509",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.