Maureen Emily Regan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

343555 Issued in NY

Practice address

130 W Tremont Ave
Bronx, NY 10453-5436

Phone

(718) 583-9000

Fax

(718) 583-2835

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: maureen.regan@jmc.eclinicaldirectplus.com

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1275051906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535436",
            "telephone_number": "978-407-0489",
            "fax_number": "212-864-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535436",
            "telephone_number": "718-583-9000",
            "fax_number": "718-583-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256901",
            "country_code": "US",
            "telephone_number": "212-865-4104",
            "fax_number": "212-864-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "MAUREEN",
        "middle_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.007208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reflective Therapy LCSW PLLC
• Regal Pharmacy Corp
• Cristal Regalado, LMSW
• Erika Charlotte Regalado, M.D.
• Allison Regan
• Shaylyn Rose Regan
• Henok Dereje Regassa, MD
• Tanvi Rege
• Regeis Care Center
• Molly Oliver Regelmann, MD

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.