Active NPI
Brittany Catherine Callahan, NP
- Pediatric Nurse Practitioner
- Selden, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383599
- Practice address
- 239 Middle Country Rd
Selden, NY 11784-2516 - Phone
- (631) 696-5437
- NPI assigned
- Oct 18, 2023
- Last updated
- Oct 18, 2023
- 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 | 383599 | NY | Primary |
Addresses
Primary practice location
239 Middle Country Rd
Selden, NY 11784-2516
Mailing address
62 Huron St
Port Jefferson Station, NY 11776-4338
Other practice location 1
5050 Sunrise Hwy
Massapequa Park, NY 11762-2928
Phone (516) 541-5437
Other practice location 2
1130 Deer Park Ave
North Babylon, NY 11703-3102
Phone (631) 667-4767
Other practice location 3
6218 Jericho Tpke
Commack, NY 11725-2801
Phone (631) 499-5437
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383599 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics PC | Past | Accepting new patients | |
| PM Pediatrics of Selden | Past | Accepting new patients | |
| PM Pediatrics of Selden | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
- Urgent Care Clinic/Center
- Selden, NY
- NPI 1790914042
-
- Specialist
- North Babylon, NY
- NPI 1902143886
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1386426807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 HURON ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117764338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 MIDDLE COUNTRY RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842516",
"telephone_number": "631-696-5437"
}
],
"practiceLocations": [
{
"address_1": "5050 Sunrise Hwy",
"address_purpose": "LOCATION",
"city": "Massapequa Park",
"state": "NY",
"postal_code": "117622928",
"country_code": "US",
"telephone_number": "516-541-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "North Babylon",
"state": "NY",
"postal_code": "117033102",
"country_code": "US",
"telephone_number": "631-667-4767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6218 Jericho Tpke",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117252801",
"country_code": "US",
"telephone_number": "631-499-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "BRITTANY",
"middle_name": "CATHERINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.