Organization Active NPI

Cosgrove Consultations Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Wantagh, NY
National Provider Identifier
1043423882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400581-1 Issued in NY
Legal business name
COSGROVE CONSULTATIONS INC.
Practice address
3375 Park Ave
Suite 3007
Wantagh, NY 11793-3733
Phone
(516) 785-5544
Fax
(516) 785-5570
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah Ann Cosgrove, NPP
Title
President
Phone
(516) 785-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X F400581-1 NY Primary

Addresses

Primary practice location

3375 Park Ave
Suite 3007
Wantagh, NY 11793-3733

Mailing address

3375 Park Ave
Suite 3007
Wantagh, NY 11793-3733
Phone (516) 785-5544

Other identifiers 1

IdentifierTypeStateIssuer
02154736MedicaidNY

National Provider Directory

National Provider Directory

Locations

268 Medford Ave
Ste 9
Patchogue, NY 11772
Phone (631) 207-9270

3375 Park Ave
Ste 3007
Wantagh, NY 11793
Phone (516) 223-3155

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043423882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE",
            "address_2": "SUITE 3007",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933733",
            "telephone_number": "516-785-5544",
            "fax_number": "516-785-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE",
            "address_2": "SUITE 3007",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933733",
            "telephone_number": "516-785-5544",
            "fax_number": "516-785-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSGROVE CONSULTATIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-785-5544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NPP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400581-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.