MARY T. HICKEY (NPI# 1205267275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205267275 |
| Entity Type | Individual |
| Full Name | MARY T. HICKEY |
| Credential | NP |
| Practice Address |
40 Crossways Park Dr Ste 101 Woodbury NY 11797 |
| Mailing Address |
900 Merchants Concourse Ste 216 Westbury NY 11590-5114 |
| Practice Telephone | 5164963900 |
| Mailing Telephone | 5162268373 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 420362 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F342269 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420362-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Northern Blvd Ste 106, Manhasset, NY 110303033 | 5164827666 | |
| 560 Northern Blvd, Suite 206, Great Neck, NY 110215118 | 5164828741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265684559 | Mary Hickey | Social Worker | 314 Cumberland St, Rumford, ME 04276-1707 | 2008-10-17 |
| Street Address |
40 CROSSWAYS PARK DR STE 101 |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336161561 | Cindy Tobin | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-07-24 |
| 1649634676 | Tatyana Zubkina | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2016-04-06 |
| 1063806552 | Krista Lynn Wasserman | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2015-03-24 |
| 1861737280 | Lisa Tepfer | Nurse Practitioner | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2012-12-11 |
| 1740417633 | Helen H Park | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2009-06-17 |
| 1629105713 | Terah J Stiell | Physician Assistant | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2007-02-27 |
| 1619053535 | Yulia Aronovich | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-31 |
| 1518043173 | Henry Kurt Prince | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-27 |
| 1831275494 | Jeanine Morris-rush | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-27 |
| 1871501775 | Melissa Oppenheim | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114297215 | Melissa Anne Bordenave | Nurse Practitioner | 1795 Radio Dr, Suite D, Woodbury, MN 55125-9414 | 2012-01-05 |
| 1487943247 | Anna Bo Mee Schmidt | Nurse Practitioner | 8450 Seasons Pkwy, Woodbury, MN 55125 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464918 | Elena Carianna | Nurse Practitioner | 469 Clinton Ave Apt 1, Brooklyn, NY 11238-1732 | 2020-10-16 |
| 1265039291 | Barbara Sztukowski | Nurse Practitioner | 438 Stockholm St, Ridgewood, NY 11385-1333 | 2020-10-02 |
| 1821602814 | Rut Ester Almonte Ceron | Nurse Practitioner | 15045 73rd Ave Apt 3h, Flushing, NY 11367-2610 | 2020-09-07 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1780296434 | Ashley Leonia Valeus | Nurse Practitioner | 3415 Parsons Blvd Apt 2l, Flushing, NY 11354-4619 | 2020-08-22 |
| 1013529692 | Angelina Yushuvayev | Nurse Practitioner | 14703 77th Rd, Flushing, NY 11367-3428 | 2020-08-17 |
| 1417567942 | Amanpreet Karir | Nurse Practitioner | 1305 York Ave Ste 6, New York, NY 10021-5663 | 2020-08-10 |
| 1700495249 | Jessica Bobadilla | Nurse Practitioner | 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 | 2020-07-30 |
| 1144844812 | Charlene Santos-alvarez | Nurse Practitioner | 8450 169th St Apt 502, Jamaica, NY 11432-2018 | 2020-05-29 |
| 1346863610 | Maria Furman | Nurse Practitioner | 130 E 93rd St Apt 5d, New York, NY 10128-1624 | 2020-05-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.