Active NPI
Phyllis Hogan, APN
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1285981738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306059-1
- Practice address
- 75 Broad St
Ste 0815
New York, NY 10004-2415 - Phone
- (347) 761-3168
- NPI assigned
- Aug 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306059-1 | NY | Primary |
Addresses
Primary practice location
75 Broad St
Ste 0815
New York, NY 10004-2415
Mailing address
75 Broad St
Ste 0815
New York, NY 10004-2415
Phone (347) 761-3168
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306059-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1285981738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BROAD ST",
"address_2": "STE 0815",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042415",
"telephone_number": "347-761-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BROAD ST",
"address_2": "STE 0815",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042415",
"telephone_number": "347-761-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "PHYLLIS",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "306059-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.