Individual provider Active NPI

Whitney Marion McCarthy, NP

  • Adult Health Nurse Practitioner
  • Locust Valley, NY
National Provider Identifier
1982372041
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310427 Issued in NY
Practice address
480 Forest Ave Ste 403
Locust Valley, NY 11560-2152
Phone
(516) 759-5406
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310427 NY Primary

Addresses

Primary practice location

480 Forest Ave Ste 403
Locust Valley, NY 11560-2152

Mailing address

60 Miro PL
Port Washington, NY 11050-2444
Phone (516) 343-3940

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914003877 NY Order and Referring Only - Nurse Practitioner 6103201918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310427NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Station of Long Island PC CurrentSince Oct 2, 2022 Accepting new patients
The Medical Station of North Shore PC CurrentSince Sep 28, 2021 Accepting new patients

Locations

480 Forest Ave
Ste 403
Locust Valley, NY 11560
Phone (516) 759-5406

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1982372041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MIRO PL",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502444",
            "telephone_number": "516-343-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FOREST AVE STE 403",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602152",
            "telephone_number": "516-759-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "WHITNEY",
        "middle_name": "MARION",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

Verify at the official NPI Registry.