Individual provider Active NPI

Marie Catherine Callaghan, SPECIAL ED TEACHER

  • Specialist
  • Jamaica, NY
National Provider Identifier
1013611631
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
17730 Wexford Ter
Jamaica, NY 11432-2924
Phone
(347) 343-5261
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

17730 Wexford Ter
Jamaica, NY 11432-2924

Mailing address

15011 87TH Rd PH
Jamaica, NY 11432-3311
Phone (718) 657-4025

Other practice location 1

17730 Wexford Ter
Jamaica, NY 11432-2924
Phone (347) 343-5216

Other identifiers 1

IdentifierTypeStateIssuer
23783OtherNYNEW YORK STATE EI ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1013611631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15011 87TH RD PH",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323311",
            "telephone_number": "718-657-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17730 WEXFORD TER",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322924",
            "telephone_number": "347-343-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17730 Wexford Ter",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114322924",
            "country_code": "US",
            "telephone_number": "347-343-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "MARIE",
        "middle_name": "CATHERINE",
        "credential": "SPECIAL ED TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EI ID NUMBER",
            "identifier": "23783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.