Active NPI
Marilyn Jean Higgins
- Adult Health Nurse Practitioner
- Stony Brook, NY
National Provider Identifier
1285873109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 301803
- Practice address
- Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122 - Phone
- (631) 444-1213
- NPI assigned
- Feb 17, 2009
- Last updated
- Feb 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 301803 | NY | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | F381743-1 | NY |
Addresses
Primary practice location
Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122
Mailing address
Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F381743-1 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1285873109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. OF NEUROLOGICAL SURGERY",
"address_2": "T12 080 HEALTH SCIENCES CENTER",
"city": "STONYBROOK",
"state": "NY",
"postal_code": "117948122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT. OF NEUROLOGICAL SURGERY",
"address_2": "T12 080 HEALTH SCIENCES CENTER",
"city": "STONYBROOK",
"state": "NY",
"postal_code": "117948122",
"telephone_number": "631-444-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "MARILYN",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "301803",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381743-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.