Active NPI
Virginia Egan, RN
- Critical Care Medicine Registered Nurse
- Brooklyn, NY
National Provider Identifier
1356649560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 421869
- Practice address
- 4311 Atlantic Ave FL 1
Brooklyn, NY 11224-1025 - Phone
- (518) 817-0463
- NPI assigned
- Mar 11, 2011
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 421869 | NY | Primary |
| Administrator Registered Nurse | 163WA2000X | 421869 | NY | |
| College Health Registered Nurse | 163WC1400X | 421869 | NY | |
| Community Health Registered Nurse | 163WC1500X | 421869 | NY | |
| Emergency Registered Nurse | 163WE0003X | 421869 | NY | |
| General Practice Registered Nurse | 163WG0000X | 421869 | NY | |
| Home Health Registered Nurse | 163WH0200X | 421869 | NY | |
| Hospice Registered Nurse | 163WH1000X | 421869 | NY | |
| Infusion Therapy Registered Nurse | 163WI0500X | 421869 | NY | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 421869 | NY | |
| Maternal Newborn Registered Nurse | 163WM0102X | 421869 | NY | |
| Neuroscience Registered Nurse | 163WN0800X | 421869 | NY | |
| Pediatric Registered Nurse | 163WP0200X | 421869 | NY | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 421869 | NY | |
| Occupational Health Registered Nurse | 163WX0106X | 421869 | NY |
Addresses
Primary practice location
4311 Atlantic Ave FL 1
Brooklyn, NY 11224-1025
Mailing address
2213 Niskayuna Dr
Niskayuna, NY 12309-4011
Phone (518) 817-0463
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421869 | NY | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1356649560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 NISKAYUNA DR",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123094011",
"telephone_number": "518-817-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 ATLANTIC AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241025",
"telephone_number": "518-817-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "VIRGINIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-11",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "421869",
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "421869",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "NY",
"license": "421869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.