MS. MARY K MICHALAK PA
NPI 1699814525
Physician Assistant - Medical in Newburgh, NY

Active since February 06, 2007PECOS Enrolled
147 LAKE ST, NEWBURGH, NY 12550(845) 563-8000 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary K Michalak Pa NPPES

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

MS. MARY K MICHALAK PA (NPI 1699814525) is an individual medical provider in Newburgh, New York, licensed in New York (013621) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699814525
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARY K MICHALAKCredential: PA
Location Address147 LAKE STNewburgh, NY 12550-5242
Mailing Address2570 Route 9w, Suite 10Cornwall, NY 12518-1323 · (845) 563-8000
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 21, 2019
NPI 1699814525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 013621
Also ListedAcupuncturistTaxonomy 171100000X · License 001913 (NY)
147 LAKE ST, Newburgh, NY 12550

Secondary Practice Locations 2

Location 1707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7575 · Fax (845) 333-7139
Location 238 Concord RdMonticello, NY 12701-3210 · Phone (845) 333-6500 · Fax (845) 333-6501

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 K Michalak Pa 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.

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.

Nurse Practitioner (Family)
147 LAKE ST
NEWBURGH, NY 12550
Psychiatry & Neurology (Psychiatry)
147 LAKE ST
NEWBURGH, NY 12550
Midwife
147 LAKE ST
NEWBURGH, NY 12550
Internal Medicine
147 LAKE ST
NEWBURGH, NY 12550
Dentist (General Practice)
147 LAKE ST
NEWBURGH, NY 12550
Pharmacy (Community/Retail Pharmacy)
147 LAKE ST, STE 101
NEWBURGH, NY 12550
Nurse Practitioner (Family)
147 LAKE ST
NEWBURGH, NY 12550
Social Worker (Clinical)
147 LAKE ST
NEWBURGH, NY 12550

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 Michalak's NPI number?

The NPI number for Mary Michalak is 1699814525. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Mary Michalak located?

Mary Michalak practices at 147 Lake St, Newburgh, NY 12550. The listed phone number is (845) 563-8000.

What is Mary Michalak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Michalak enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Michalak was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.