1. Home
  2. Directory
  3. New York
  4. East Meadow
  5. Physician Assistant
  6. NPI Profile

MARY DEVINE PA
NPI 1891856852
Physician Assistant - Medical in East Meadow, NY

Active since December 13, 2006PECOS Enrolled
2201 HEMPSTEAD TPKE, INTERNAL BOX 42, EAST MEADOW, NY 11554(516) 572-6131(516) 572-5793 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Devine Pa NPPES

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

MARY DEVINE PA (NPI 1891856852) is an individual medical provider in East Meadow, New York, licensed in New York (006111) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891856852
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY DEVINECredential: PA
Location Address2201 HEMPSTEAD TPKE, INTERNAL BOX 42East Meadow, NY 11554-1859
Mailing Address59 Jefferson AveWyandanch, NY 11798-4021
Phone(516) 572-6131
Fax(516) 572-5793
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891856852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 006111
2201 HEMPSTEAD TPKE, East Meadow, NY 11554
Open in Google Maps ↗

Other Identifiers 1

Other006111NY · License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Devine 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.

ROSITA BERNADOTTE R.N.
Registered Nurse
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
KENICE E. DALTON JR. O.T.
Occupational Therapist
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
VIVIAN LYNN POLLOCK M.S.W.
Social Worker
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
CICILY BROWN R.N.
Registered Nurse
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
SHAMAILA IDREES M.D.
Psychiatry & Neurology (Psychiatry)
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6171
DR. SARAH ROSE STEVENS DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-0123
WEI LEONG DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
KONSTANTINOS IOANNIS FORTOUNAS MD
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6637

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 Devine's NPI number?

The NPI number for Mary Devine is 1891856852. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Mary Devine located?

Mary Devine practices at 2201 Hempstead Tpke Internal Box 42, East Meadow, NY 11554. The listed phone number is (516) 572-6131.

What is Mary Devine's specialty?

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

Is Mary Devine enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Devine 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.