Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Montefusco, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1063671972

Mary Montefusco, ACNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2007, 19 years ago. Practices with MSKCC Clinical Practice Plan, a 87-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-6939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 430358 (NY)

Record details

NPI number1063671972
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedJune 5, 2008
Last updated in NPPESJune 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mskcc Clinical Practice Plan — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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