Active NPI
Marie Haggarty, PA
- Physician Assistant
- Malone, NY
National Provider Identifier
1316067101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5121
- Practice address
- 187 Park St Ste 2
Malone, NY 12953-1233 - Phone
- (518) 481-2790
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5121 | NY | Primary |
Addresses
Primary practice location
187 Park St Ste 2
Malone, NY 12953-1233
Mailing address
187 Park St Ste 2
Malone, NY 12953-1233
Phone (518) 481-2790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2636 | Other | NY | ALICE HYDE MEDICAL CENTER |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5121 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Lowell, M.D. P.C. | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Hospice of the North Country, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- Community Based Hospice Care Agency
- Plattsburgh, NY
- NPI 1417999053
-
- Family Medicine Physician
- Malone, NY
- NPI 1376730978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1316067101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 PARK ST STE 2",
"city": "MALONE",
"state": "NY",
"postal_code": "129531233",
"telephone_number": "518-481-2790",
"fax_number": "518-481-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 PARK ST STE 2",
"city": "MALONE",
"state": "NY",
"postal_code": "129531233",
"telephone_number": "518-481-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGARTY",
"first_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "5121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALICE HYDE MEDICAL CENTER",
"identifier": "PA2636",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.