MAI MONA RASOULLY N.P.
NPI 1841546355
Nurse Practitioner - Family in Albany, NY

Active since August 02, 2012
63 SHAKER RD STE G01, ALBANY, NY 12204(518) 429-2561 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2021, Nov 11, 2019 (2 updates tracked since 2019).

About Mai Mona Rasoully N.p. NPPES

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

MAI MONA RASOULLY N.P. (NPI 1841546355) is an individual family provider in Albany, New York, licensed in New York (F337415-1) and active in the NPI registry since August 2012. She maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1841546355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAI MONA RASOULLYCredential: N.P.
Location Address63 SHAKER RD STE G01Albany, NY 12204-1030
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Enumeration DateAugust 2, 2012
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
NPI 1841546355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F337415-1
63 SHAKER RD STE G01, Albany, NY 12204

Secondary Practice Location 1

Location 1400 Patroon Creek Blvd, Suite 210Albany, NY 12206-5013 · Phone (518) 459-8106 · Fax (518) 489-6441

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
63 SHAKER RD STE G01
ALBANY, NY 12204
Psychiatry & Neurology (Neurology)
63 SHAKER RD STE G01
ALBANY, NY 12204
Psychiatry & Neurology (Neurology)
63 SHAKER RD STE G01
ALBANY, NY 12204

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 Mai Mona Rasoully's NPI number?

The NPI number for Mai Mona Rasoully is 1841546355. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Mai Mona Rasoully located?

Mai Mona Rasoully practices at 63 Shaker Rd Ste G01, Albany, NY 12204. The listed phone number is (518) 429-2561.

What is Mai Mona Rasoully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mai Mona Rasoully was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.