MS. MARY T NEALON C.P.N.P.
NPI 1174805469
Nurse Practitioner - Pediatrics in New York, NY

Active since September 13, 2011PECOS Enrolled
3703 10TH AVE, NEW YORK, NY 10034(212) 567-6066(212) 569-3803 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Mary T Nealon C.p.n.p. NPPES

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

MS. MARY T NEALON C.P.N.P. (NPI 1174805469) is an individual pediatrics provider in New York, New York, licensed in New York (F381359) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174805469
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MARY T NEALONCredential: C.P.N.P.
Location Address3703 10TH AVENew York, NY 10034-1860
Mailing Address3703 10th AveNew York, NY 10034-1860 · (212) 567-6066 · Fax (212) 569-3803
Fax(212) 569-3803
Sole ProprietorNo
Enumeration DateSeptember 13, 2011
✔ NPI 1174805469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381359
3703 10TH AVE, New York, NY 10034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary T Nealon C.p.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Speech-Language Pathologist
3703 10TH AVE
NEW YORK, NY 10034
Occupational Therapist
3703 10TH AVE
NEW YORK, NY 10034
Nurse Practitioner (Pediatrics)
3703 10TH AVE, CHILDREN'S AID SOCIETY SBHC AT P.S.5
NEW YORK, NY 10034
Speech-Language Pathologist
3703 10TH AVE
NEW YORK, NY 10034
Dental Hygienist
3703 10TH AVE
NEW YORK, NY 10034

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 Nealon's NPI number?

The NPI number for Mary Nealon is 1174805469. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Mary Nealon located?

Mary Nealon practices at 3703 10th Ave, New York, NY 10034. The listed phone number is (212) 567-6066.

What is Mary Nealon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Nealon enrolled in Medicare?

Yes. Mary Nealon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Nealon was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.