Individual provider Active NPI

Maura Lynne Hanigan, R.N.

  • Registered Nurse
  • Nanuet, NY
National Provider Identifier
1083961692
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
619885 Issued in NY
Practice address
50 Blauvelt Rd
Nanuet, NY 10954-3445
Phone
(845) 627-4864
Fax
(845) 624-1534
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 619885 NY Primary

Addresses

Primary practice location

50 Blauvelt Rd
Nanuet, NY 10954-3445

Mailing address

50 Blauvelt Rd
Nanuet, NY 10954-3445
Phone (845) 627-4864

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
619885NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1083961692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BLAUVELT RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543445",
            "telephone_number": "845-627-4864",
            "fax_number": "845-624-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLAUVELT RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543445",
            "telephone_number": "845-627-4864",
            "fax_number": "845-624-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAN",
        "first_name": "MAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.