Active NPI
Margaret Joan Fagan, CRNP
- Pediatric Nurse Practitioner
- Darby, PA
National Provider Identifier
1376772988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP001899D
- Practice address
- 1503 Lansdowne Ave
Suite 3002
Darby, PA 19023-1330 - Phone
- (610) 237-4973
- Fax
- (610) 237-7311
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP001899D | PA | Primary |
Addresses
Primary practice location
1503 Lansdowne Ave
Suite 3002
Darby, PA 19023-1330
Mailing address
341 Mohican St
Lester, PA 19029-1621
Phone (610) 521-0740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002660916001 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP001899D | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Pediatric Associates PC | Past | Accepting new patients |
Interoperability endpoints
- mfagan49@directaddress.net
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.
-
- Pediatrics Physician
- Darby, PA
- NPI 1417922782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1376772988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 MOHICAN ST",
"city": "LESTER",
"state": "PA",
"postal_code": "190291621",
"telephone_number": "610-521-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 LANSDOWNE AVE",
"address_2": "SUITE 3002",
"city": "DARBY",
"state": "PA",
"postal_code": "190231330",
"telephone_number": "610-237-4973",
"fax_number": "610-237-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "MARGARET",
"middle_name": "JOAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP001899D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002660916001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.