Active NPI
Angela McKinlay, FNP-C
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1295136687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339134
- Practice address
- 550 1St Ave
5TH Floor Anesthesia Office-Pain
New York, NY 10016-6402 - Phone
- (917) 439-4421
- NPI assigned
- Sep 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339134 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ00529800 | NJ |
Addresses
Primary practice location
550 1St Ave
5TH Floor Anesthesia Office-Pain
New York, NY 10016-6402
Mailing address
550 1St Ave
5TH Floor Anesthesia Office-Pain
New York, NY 10016-6402
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339134 | NY | MD | Family Medicine Physician |
| 26NJ00529800 | NJ | MD | Family Nurse Practitioner |
Interoperability endpoints
- amckinlay40974@nyumc.direct-ci.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442102400000",
"number": "1295136687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"address_2": "5TH FLOOR ANESTHESIA OFFICE-PAIN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"address_2": "5TH FLOOR ANESTHESIA OFFICE-PAIN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "917-439-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLAY",
"first_name": "ANGELA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2015-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339134",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00529800",
"primary": false
}
],
"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 Sep 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.