MARA ALEXIS MCCROSSIN (NPI# 1861920480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861920480 |
| Entity Type | Individual |
| Full Name | MARA ALEXIS MCCROSSIN |
| Other Name | MS. MARA ALEXIS FINKELMAN-MCCROSSIN |
| Credential | NP |
| Practice Address |
100 Nicolls Rd Hsc T12 Rm 080 Stony Brook NY 11794 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314441116 |
| Practice Fax Number | 6314441535 |
| Mailing Telephone | 6314441116 |
| Mailing Fax Number | 6314441535 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308239 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Nicolls Rd, Hsc T12 Rm 080, Stony Brook, NY 11794 | 6314441116 | 6314441535 |
| 180 Sutter St, San Francisco, CA 941044007 | 4153490850 | |
| 250 Montgomery St, San Francisco, CA 941043431 | 4153490850 | |
| 6010 Bay Pkwy, Brooklyn, NY 112046079 | 7182382100 | |
| 660 4th St # 202, San Francisco, CA 941071618 | 4153490850 | 4153543430 |
| 751 Hempstead Ave, West Hempstead, NY 115523230 | 5169020213 |
| Street Address |
100 NICOLLS RD HSC T12 RM 080 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335640 | Laura J Monahan | Pediatrics | 100 Nicolls Rd, Level 11, Suite 040, Stony Brook, NY 11794-8111 | 2005-09-01 |
| 1386250447 | Farhana Zahan | Nurse Practitioner | 100 Nicolls Rd, Stony Brook, NY 11794-3627 | 2020-09-23 |
| 1003433509 | Joseph Anthony Poppa | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11794-3112 | 2020-06-30 |
| 1861027393 | Joshua Nuval | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-04 |
| 1548894306 | Matthew Messick | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-02 |
| 1386278133 | Savannah Peters | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-4140 | 2020-03-01 |
| 1750915252 | Hannah Skylar Palau | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-02-24 |
| 1609412741 | Thomas Banks | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2019-11-25 |
| 1164079802 | Jimmy K Master | Psychologist | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-08-19 |
| 1083278972 | Sara Khan | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764006 | Jeanine Michelle Carnival | Nurse Practitioner | 101 Nicholls Road Stony Brook Hospita, Stony Brook, NY 11794-0001 | 2019-08-07 |
| 1285104588 | Jacob Parathodathil Joseph | Nurse Practitioner | Stony Brook Medical Center Health Science Center T 16, Stony Brook, NY 11794-0001 | 2018-11-29 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1467960294 | Christian Routh | Nurse Practitioner | Vascular Surgery Hsc T19-090, Stony Brook, NY 11794-8191 | 2018-01-15 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1144745258 | Danielle J Kelly | Nurse Practitioner | Stony Brook Medicine 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2017-08-09 |
| 1205289592 | Stefani Lynn Pagliuca | Nurse Practitioner | Department of Medicine Hsc T16, Rm020, Stony Brook, NY 11794-8403 | 2016-07-21 |
| 1477975845 | Michele L Degraw | Nurse Practitioner | Hsc T15-040, Stony Brook, NY 11794-4413 | 2014-01-20 |
| 1245503804 | Antonieta Ababa Rosenberg | Nurse Practitioner | 13n Neurology Department Rm 023, Stony Brook University Hospital, 101 Nichols Rd, Stony Brook, NY 11794-0001 | 2012-02-13 |
| 1649555889 | Kerin Culver Beedenbender | Nurse Practitioner | 19-20 Health Sciences Ctr, Stony Brook, NY 11794-0001 | 2011-10-19 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on MARA ALEXIS MCCROSSIN.
| 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.