Individual provider Active NPI

Robin Maughn, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1184045387
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
672691 Issued in NY
Practice address
150 Malcolm X Blvd Apt 4U
Brooklyn, NY 11221-2227
Phone
(201) 887-2818
NPI assigned
Dec 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 672691 NY Primary
Registered Nurse 163W00000X 654164 PA

Addresses

Primary practice location

150 Malcolm X Blvd Apt 4U
Brooklyn, NY 11221-2227

Mailing address

150 Malcolm X Blvd Apt 4U
Brooklyn, NY 11221-2227
Phone (201) 887-2818

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
672691NYMDRegistered Nurse
654164PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1184045387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MALCOLM X BLVD APT 4U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212227",
            "telephone_number": "201-887-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MALCOLM X BLVD APT 4U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212227",
            "telephone_number": "201-887-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHN",
        "first_name": "ROBIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672691",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "654164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.