Individual provider Active NPI

Megan Blair, PA-C

  • Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1265809461
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018791 Issued in NY
Practice address
1 Webster Ave Ste 400
Poughkeepsie, NY 12601-1363
Phone
(845) 431-8823
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018791 NY Primary

Addresses

Primary practice location

1 Webster Ave Ste 400
Poughkeepsie, NY 12601-1363

Mailing address

82 Hillside Dr
Marlboro, NY 12542-5315
Phone (845) 926-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117002643 NY Practitioner - Physician Assistant 9739499013 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 1, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Sep 1, 2021 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Feb 16, 2016 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1 Webster Ave
Ste 400
Poughkeepsie, NY 12601
Phone (845) 454-0120

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1265809461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HILLSIDE DR",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125425315",
            "telephone_number": "845-926-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 400",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011363",
            "telephone_number": "845-431-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.