MARY CLANCY PA
NPI 1013068964
Nurse Practitioner in Jamaica, NY

Q: What is Mary Clancy's NPI number?

The NPI number for Mary Clancy is 1013068964. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Mary Clancy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clancy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2007

8900 VAN WYCK EXPY, JHMC ER, JAMAICA, NY 11418(718) 206-6000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Clancy Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CLANCY PA (NPI 1013068964) is an individual nurse practitioner in Jamaica, New York, licensed in New York (F300249) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013068964

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY CLANCYCredential: PA

Location Address8900 VAN WYCK EXPY, JHMC ERJamaica, NY 11418-2897

Mailing Address80 Marcus DrMelville, NY 11747-4230 · (631) 391-7889 · Fax (631) 454-4163

Phone(718) 206-6000

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013068964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F300249

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.

8900 VAN WYCK EXPY, Jamaica, NY 11418

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS82152NY

Medicaid02227214NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XUN LI M.D.

Neurological Surgery