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MARY BRIDGE MD
NPI 1902548183
General Practice in New York, NY

Active since April 08, 2022PECOS Enrolled
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, DEPARTMENT OF SURGERY, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Bridge Md NPPES

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

MARY BRIDGE MD (NPI 1902548183) is an individual general practice provider in New York, New York, licensed in New York (330667-01) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902548183
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARY BRIDGECredential: MD
Location Address1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, DEPARTMENT OF SURGERYNew York, NY 10029
Mailing Address1901 First Avenue 15th Floor Room 15b-1, Department Of SurgeryNew York, NY 10029 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorYes
Enumeration DateApril 8, 2022
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1902548183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 330667-01
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, New York, NY 10029
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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 Bridge Md 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 3

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

MARIA KARINA LARNI YNCIERTO PALAD MD
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, METROPOLITAN HOSPITAL CENTER DEPARTMENT OF MEDICINE
NEW YORK, NY 10029
New York County (212) 423-6271
MRS. MARYIA MARTYNENKA M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, METROPOLITAN HOSPITAL CENTER DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10029
New York County (212) 423-6271
EBRAHEM HABIBEH
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1
NEW YORK, NY 10029
New York County (212) 423-6271

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 Bridge's NPI number?

The NPI number for Mary Bridge is 1902548183. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Mary Bridge located?

Mary Bridge practices at 1901 First Avenue 15th Floor Room 15b-1 Department Of Surgery, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Mary Bridge's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mary Bridge enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Bridge was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.