Mary Elizabeth D'Entremont, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F305439-1 Issued in NY

Practice address

557 Broadway
Scholastic Wellness Center
New York, NY 10012-3962

Phone

(212) 343-4920

NPI assigned

Nov 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Elizabeth Fitzpatrick Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.d.entremont.1@5622.direct.athenahealth.com

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.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• The Medical Offices of Occupational Health Resources PC

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1134423981
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1982981858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 BROADWAY",
            "address_2": "SCHOLASTIC WELLNESS CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123962",
            "telephone_number": "212-343-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROADWAY",
            "address_2": "SCHOLASTIC WELLNESS CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123962",
            "telephone_number": "212-343-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ENTREMONT",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305439-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FITZPATRICK",
            "middle_name": "ELIZABETH",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria D'Cruze, LMSW
• Frank D'Elia
• Giancarlo Antonio D'Elia
• Joseph Anthony D'Elia, R.PH.
• Savanna D'Elia, PNP
• Michele Grace D'Ermo
• Amelio A D'Onofrio, PHD
• Claudia Antoinette D'Onofrio
• Juliana D'Onofrio, PHD
• Michelle C D'Onofrio, MS CCC-SLP, TSHH

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.

Verify at the official NPI Registry.