Mary Paches

Primary specialty

SpecialistTaxonomy code 174400000X

License

66-007998 Issued in NY

Practice address

3244 31St St
Astoria, NY 11106-2561

Phone

(718) 626-2699

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Paches Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1992132039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 31ST STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "718-626-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062561",
            "telephone_number": "718-626-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHES",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "66-007998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PACHES",
            "prefix": "MS.",
            "credential": "PHYISCAL THERAPIST A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohammad Youssef Otmankhel, DPT
• Younos Otmankhel
• Candice Overton, M.S. MHC
• Courtney Marie Owens
• Aditya Oza, MD
• Joan Padouvas, M.D.
• Daniel Pagan, PT
• Christopher Page
• Menie Ann Pagomenakis, M.S.CCC-SLP
• Paige Ellison, LCSW PLLC

• Specialist in Astoria, NY
• Providers in Astoria, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.