MARY PHAM NP
NPI 1033238035
Nurse Practitioner - Family in Manhasset, NY
About Mary Pham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PHAM NP (NPI 1033238035) is an individual family provider in Manhasset, New York, licensed in New York (F301537) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Pham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Pham's NPI number?
The NPI number for Mary Pham is 1033238035. It was assigned to this individual provider in the NPPES registry on March 29, 2007.
Where is Mary Pham located?
Mary Pham practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-3722.
What is Mary Pham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Pham enrolled in Medicare?
Yes. Mary Pham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pham reassigns Medicare benefits to Matrix Medical Of New York PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Pham was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mary Pham, NP · NPI 1033238035
Family physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1033238035 (Entity type: Individual)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F301537 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 COMMUNITY DR, Manhasset, NY 11030-3816
- **Phone:** (516) 562-3722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Medical Of New York PC (NPI 1639433063, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033238035) · Data from the CMS NPPES public registry.