Michelle Magorno, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

38382006 Issued in NY

Practice address

1955 1St Ave
#702
New York, NY 10029-6408

Phone

(925) 858-9063

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1154579282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVENUE #702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296445",
            "telephone_number": "925-858-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE",
            "address_2": "#702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296408",
            "telephone_number": "925-858-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGORNO",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "38382006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Magnussen, CRPA, CASAC T
• Harrald V Magny, PH.D.
• Sheku S Magona, M.D.
• Anne Magoolaghan
• Katherine Magoon, MD
• Trisha Mae Magpantay, MSN, RN, AGACNP-BC
• Michaela Magpile, PT, DPT
• Cristi Marie Caro Magracia, PT, DPT
• Maya Magradze
• Irene Magramm, M.D.

• Pediatric Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.