Active NPI
Meghan Marie Manginelli
- Specialist
- Port Jeff Sta, NY
National Provider Identifier
1063885283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 128 Stuyvesant Dr
Port Jeff Sta, NY 11776-4227 - Phone
- (516) 449-2991
- NPI assigned
- Nov 10, 2015
- Reactivated
- Sep 9, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
128 Stuyvesant Dr
Port Jeff Sta, NY 11776-4227
Mailing address
128 Stuyvesant Dr
Port Jeff Sta, NY 11776-4227
Phone (516) 449-2991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1063885283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 STUYVESANT DR",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "117764227",
"telephone_number": "516-449-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 STUYVESANT DR",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "117764227",
"telephone_number": "516-449-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGINELLI",
"first_name": "MEGHAN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2026-09-09",
"certification_date": "2023-05-25",
"deactivation_date": "2023-05-25",
"reactivation_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jeff Sta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.