Mary Skelly McDonagh, A.G.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307745 Issued in NY

Practice address

43 Greenridge Ave
Garden City, NY 11530-1013

Phone

(516) 582-9626

NPI assigned

Nov 15, 2016

Sex

Female

Sole proprietor

Yes

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1194267690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GREENRIDGE AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-582-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GREENRIDGE AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301013",
            "telephone_number": "516-582-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONAGH",
        "first_name": "MARY",
        "middle_name": "SKELLY",
        "credential": "A.G.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert McClelland, D.D.S.
• Margaret McConnell, LCSW
• Irene E. McCoy, M.S. CCC SP
• Lisa Jean McCreesh, RPA-C
• Ian Lambourne McCulloch, MD
• Erin Marie McDonough, PH.D.
• D. Lani McElgun, M.A., LMFT
• Terence Michael McElgun, D.P.M.
• Alexa McGhee
• Robinann McGonigle, NYSPEP-CPE, NCC, MHC

• Adult Health Nurse Practitioner in Garden City, NY
• Providers in Garden City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.