Nicole McEwen

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

720847 Issued in NY

Practice address

12820 Van Wyck Expy
South Ozone Park, NY 11420-3034

Phone

(347) 539-6549

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1053190769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEHAR CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 VAN WYCK EXPY",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203034",
            "telephone_number": "347-539-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Mehar Ct",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085274591",
            "country_code": "US",
            "telephone_number": "347-539-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "720847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene L. Matthews, CASAC-T
• Daniella May
• Bernadette L Mayers, NP
• Annmarie McDonald, MD
• Janis Irene McDonald, MA CCC-SLP
• Rawle Anthony McIntosh
• Mona Melody McKenzie, ATC
• Catherine Mary McManus
• Levinia Melaram
• Mildred Mendez Monges, MSED

• Registered Nurse in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Registered Nurse in New York

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