Active NPI
Nova McNally
- Specialist
- Brooklyn, CT
National Provider Identifier
1285952267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 002851
- Practice address
- 159 Wauregan Rd
Brooklyn, CT 06234-1925 - Phone
- (860) 779-9308
- NPI assigned
- May 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 002851 | CT | Primary |
Addresses
Primary practice location
159 Wauregan Rd
Brooklyn, CT 06234-1925
Mailing address
PO Box 706
Brooklyn, CT 06234-0706
Phone (860) 779-9308
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002851 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1285952267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 706",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062340706",
"telephone_number": "860-779-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 WAUREGAN RD",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062341925",
"telephone_number": "860-779-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "NOVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-14",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "002851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.