Theresa McIntyre, NP
Nurse Practitioner, Adult Health in Ny, NY. Individual provider (NPI-1).
NPI number1003543166
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1003543166
- Entity type
- Individual (NPI-1)
- Name
- Ms. Theresa McIntyre
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2022
- Certification date
- Aug 8, 2022
- Last updated
- Apr 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- Medicare opt-out
- Apr 7, 2025 to Apr 7, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 310490 | NY | Yes |
Practice location
36 East 57th StreetNy, NY 10022
Phone 212-600-2000
Mailing address
3160 33rd St Apt B1Astoria, NY 11106-2424
Phone 860-709-7674
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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