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Deactivated NPI 1457631681 Deactivated / Inactive NPI Female Practitioner

Mary Ellen Halstead , RN

Registered Nurse • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Halstead has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2011
NPI Deactivation Date June 04, 2026
Total Practice Duration ~15 Years of Practice (2011 – 2026)

Professional Overview & Biography Verified Profile Summary

Mary Halstead, RN was a registered Registered Nurse practicing in Bronx, NY. Throughout an active medical career spanning 15 years, Mary Halstead provided care at the practice location at 1200 WATERS PL until profile deactivation on 2026-06-04.

Practice Location & Contact Primary Location

Practice Address

1200 Waters Pl

Bronx, NY 104612728

Telephone 7185353101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.3 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
1936 Specialists

Practicing in Bronx, NY (26641 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NY 484649-1

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Flavio Kamenetz , MD-PHD

Radiology - Diagnostic Radiology

NPI 1023329299

MDPHD

Sabrina Smakovic

Physician Assistant

NPI 1033860721
Julianna Candela , NP

Nurse Practitioner - Family

NPI 1063848026

Nurse Practitioner

Cole Caputo , PA

Physician Assistant

NPI 1073487401

Physician Assistant

Katrina Pell

Physician Assistant

NPI 1114694833
Dr. David Noble , MD

Radiology - Diagnostic Radiology

NPI 1114952900

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2011

Registered at 1200 WATERS PL, BRONX, NY 104612728 (Tel: 7185353101)

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Updated Business Mailing Address August 19, 2011

Registered at 472 GRAMATAN AVENUE, J1, MOUNT VERNON, NY 105522982 (Tel: 9146684735)

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Provider Name / Credentials Updated August 19, 2011

Recorded as MARY HALSTEAD, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Registered Nurse (License #484649-1 in NY)

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Initial NPI Registration & Enumeration August 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457631681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2011
Last Update: August 19, 2011
Deactivation Date: June 04, 2026

Mailing Address

472 Gramatan Avenue, J1

Mount Vernon, NY 105522982

Phone: 9146684735

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.