Organization Active NPI

J. Gerald Meagher MD PC

  • Obstetrics & Gynecology Physician
  • Greenlawn, NY
National Provider Identifier
1093968000
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
78545 Issued in NY
Legal business name
J. GERALD MEAGHER MD PC
Practice address
635 Pulaski Rd
Greenlawn, NY 11740-1703
Phone
(631) 368-2828
Fax
(631) 368-2042
NPI assigned
Nov 4, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. J.Gerald Meagher, MD
Title
President
Phone
(631) 368-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 78545 NY Primary

Addresses

Primary practice location

635 Pulaski Rd
Greenlawn, NY 11740-1703

Mailing address

635 Pulaski Rd
Greenlawn, NY 11740-1703
Phone (631) 368-2828

Other identifiers 1

IdentifierTypeStateIssuer
00671678MedicaidNY

National Provider Directory

National Provider Directory

Locations

635 Pulaski Rd
Greenlawn, NY 11740
Phone (631) 368-2828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1093968000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401703",
            "telephone_number": "631-368-2828",
            "fax_number": "631-368-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401703",
            "telephone_number": "631-368-2828",
            "fax_number": "631-368-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. GERALD MEAGHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MEAGHER",
        "authorized_official_first_name": "J.GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-368-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "78545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.