Active NPI
Meghan Colleen Mackowiak, CPNP
- Pediatric Nurse Practitioner
- Long Island City, NY
National Provider Identifier
1184905192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 38 382221
- Practice address
- 1143 47TH Ave
Long Island City, NY 11101-5465 - Phone
- (718) 551-3515
- NPI assigned
- Sep 2, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 38 382221 | NY | Primary |
Addresses
Primary practice location
1143 47TH Ave
Long Island City, NY 11101-5465
Mailing address
7337 Austin St
Apt 1C
Forest Hills, NY 11375-6258
Phone (609) 230-4274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03713715 | Medicaid | NY |
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38 382221 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1184905192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7337 AUSTIN ST",
"address_2": "APT 1C",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756258",
"telephone_number": "609-230-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 47TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015465",
"telephone_number": "718-551-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKOWIAK",
"first_name": "MEGHAN",
"middle_name": "COLLEEN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "38 382221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03713715",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.