Active NPI
Donnalee Ann McIntosh, FNP-BC
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339543
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- May 24, 2012
- 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 | F339543 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339543 | NY | MD | Emergency Medicine Physician |
| F339543 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJHS Medical Associates | Current | Accepting new patients | |
| Matrix Medical Plus | Current | Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Stella Medical Care LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2875 Main St
Bridgeport, CT 06606
Phone (203) 336-0232
1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894
90 Morgan St
Ste 303
Stamford, CT 06905
Phone (203) 323-6873
21 Maefair Ct
Trumbull, CT 06611
Phone (203) 459-5152
1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345
55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1013208602
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
CT, Family
-
- Adult Health Nurse Practitioner
- Stamford, CT
- NPI 1255851481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1962762906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104581000",
"telephone_number": "718-618-0401",
"fax_number": "718-795-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "DONNALEE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.