MARY CLANCY


Address: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418-2897
Phone: 7182066000

MARY CLANCY (NPI# 1013068964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013068964
Entity Type Individual
Full Name MARY CLANCY
Credential PA
Practice Address 8900 Van Wyck Expy
Jhmc Er
Jamaica
NY 11418-2897
Mailing Address 80 Marcus Dr
Melville
NY 11747-4230
Practice Telephone 7182066000
Mailing Telephone 6313917889
Mailing Fax Number 6314544163
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner F300249 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02227214 05

Other Providers MARY CLANCY

NPI Name Taxonomy Address Enumeration
1831538925 Mary Marie Clancy Speech-Language Pathologist 1327 Kalakaket St, Fairbanks, AK 99709-4917 2013-06-21
1578895595 Mary B Clancy Nurse Practitioner 1290 Worcester Rd, Framingham, MA 01702-5254 2010-02-01
1891743746 Mary C Clancy Nurse Practitioner 88 E Newton St, Boston, MA 02118-2308 2006-05-04

Office Location

Street Address 8900 VAN WYCK EXPY
JHMC ER
City JAMAICA
State NY
Zip Code 11418-2897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962407478 Norman Ozersky Specialist 8900 Van Wyck Expy, Jamaica Anesthesia Associates, Jamaica, NY 11418-2897 2005-06-21
1306468129 Laura Caroline Rhein Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2020-05-14
1669094827 Jessica Lam Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2020-05-11
1679195937 Flor Vivar Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2897 2020-05-09
1023638798 Vivian Han Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2020-04-22
1447870233 Jennifer Wilkinson Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2897 2020-04-21
1982223483 Abraham Perl Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2020-04-14
1467071233 Sherina Allison Langdon Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2897 2020-04-13
1194344291 Robert Frank Riscica Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy, Jamaica, NY 11418-2897 2020-04-09
1487283636 Jannatul Ferdous Obstetrics & Gynecology 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2020-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831727494 Beatrice Oluyemisi Owoeye Social Worker Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 2020-03-30
1023648763 Annette Karabolli Specialist 134-11 Richmond Hills, Queens, NY 11418 2020-01-22
1447801899 Elina Babayeva Occupational Therapist 85-60 109th Street, Richmond Hill, NY 11418 2019-09-26
1962979351 David Gelin Nurse Practitioner 134-20 87th Ave, 7f, Richmond Hill, NY 11418 2018-10-24
1598257339 Levi Yechiel Grosser Student in an Organized Health Care Education/Training Program 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 2018-06-06
1124519590 George Jonathan Deannuntis Pharmacist 101-21 Jamaica Ave, Richmond Hill, NY 11418 2018-05-22
1720583545 Priya Katwala Student in an Organized Health Care Education/Training Program 8900 Van Wyvk Expy, Richmond Hill, NY 11418 2018-03-25
1851817670 Lawrence Keke Luo Chiropractor 105-09 Jamaica Avenue, Richmond Hill, NY 11418 2017-08-15
1346779162 Priya Pathadan Nurse Practitioner 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 2017-06-06
1134654049 Wqg Physical Therapy PC Physical Therapist 87-60 125th St, Richmond Hill, NY 11418 2017-04-28
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659826543 Rachel Colin Nurse Practitioner 109-02 201 Street, Jamaica, NY 11412 2016-08-20
1407056435 Marcia Michael Nurse Practitioner 14042 184th St, Jamaica, NY 11413-3047 2007-07-18
1811019201 Audrey Monica Stedford Nurse Practitioner 8931 161st St Lbby, Jamaica, NY 11432-6140 2007-04-04
1740394204 Michael Fano Nurse Practitioner 105 - 04 Sutphin Blvd, Jamaica, NY 11432 2006-08-19
1780639252 Svetlana Babekova Nurse Practitioner 180-05 Hilllside Ave., Jamaica, NY 11432-4727 2006-05-23
1205282340 Aamobasharul Chowdhury Nurse Practitioner 8268 164th St, Jamaica, NY 11432-1121 2016-05-08
1215341037 Patrice Powell Nurse Practitioner 180-05 Hillside Ave, Jamaica, NY 11432-4727 2014-06-19
1770886244 Grace Geevarghese Nurse Practitioner 8900 Van Wyck Expressway, Jamaica Hospital Medical Centre, Jamaica, NY 11418 2010-12-06
1053462861 Nancy Fishman Nurse Practitioner 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418-2897 2007-01-16
1215089941 Mary Schmidt-roth Nurse Practitioner 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418-2897 2007-01-16
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Competitor

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City JAMAICA
Zip Code 11418

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Dataset Information

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.

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