Maryann Hagan, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

223030-1 Issued in NY

Practice address

6125 Marathon Pkwy
Little Neck, NY 11362-2042

Phone

(718) 224-8060

Fax

(718) 224-5914

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1245505551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 MARATHON PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622042",
            "telephone_number": "718-224-8060",
            "fax_number": "718-224-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 MARATHON PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622042",
            "telephone_number": "718-224-8060",
            "fax_number": "718-224-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "223030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Guttman, PSYD
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• Micheline Habashy-Santiago, DDS
• Laura Hagan, PT
• Bekim Hajrizi
• Jonathan E Halter, RN
• Harriet Chervon Duffy, Inc.
• Jalana Shereese Harris, PHD, LCSW-R
• Haydn Physical Therapy PC

• School Registered Nurse in Little Neck, NY
• Providers in Little Neck, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.