Active NPI
Margaret Statile, NP
- Nurse Practitioner
- Port Chester, NY
National Provider Identifier
1396807442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F331543-1
- Practice address
- 5 Grace Church St
Open Door Family Medical Centers, Inc.
Port Chester, NY 10573-4911 - Phone
- (914) 937-8899
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F331543-1 | NY | Primary |
Addresses
Primary practice location
5 Grace Church St
Open Door Family Medical Centers, Inc.
Port Chester, NY 10573-4911
Mailing address
165 Main St
Open Door Family Medical Centers, Inc.
Ossining, NY 10562-4702
Phone (914) 941-1263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02041490 | Medicaid | NY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331543-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1396807442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MAIN ST",
"address_2": "OPEN DOOR FAMILY MEDICAL CENTERS, INC.",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624702",
"telephone_number": "914-941-1263",
"fax_number": "914-941-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GRACE CHURCH ST",
"address_2": "OPEN DOOR FAMILY MEDICAL CENTERS, INC.",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105734911",
"telephone_number": "914-937-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATILE",
"first_name": "MARGARET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F331543-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02041490",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.