Active NPI
Daniel Joseph Maughan, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1053609776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336753-1
- Practice address
- 1 Penn PLZ
New York, NY 10119-0002 - Phone
- (646) 306-4778
- NPI assigned
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336753-1 | NY | Primary |
Addresses
Primary practice location
1 Penn PLZ
New York, NY 10119-0002
Mailing address
1 Penn PLZ
Evercare- Seventh Floor
New York, NY 10119-0002
Phone (646) 306-4778
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336753-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1053609776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "EVERCARE- SEVENTH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "646-306-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "646-306-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUGHAN",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336753-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.