Megan Kasnicki, M.D.
Individual provider Active NPI Pediatrics Physician · East Moriches, NY
NPI 1396940169 · NPPES record last updated Apr 23, 2015
Key facts
- NPI
- 1396940169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 248034 (NY)
- Practice address
- 492 Montauk Hwy
East Moriches, NY 11940-1347 - Phone
- (631) 638-2900
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Pediatrics | Past |
Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- megan.kasnicki.1@29151.direct.athenahealth.com
- mkasnicki67793@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 248034 | NY | Yes |
Addresses
Primary practice location
492 Montauk Hwy
East Moriches, NY 11940-1347
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650
Other providers in East Moriches, NY
- Independent Group Home Living
- Zachary Colin Jacobs
- John V Celentano Phys, PC
- Jacquelyn M Jones
- Priscilla Karpin
- Berna Kayas
- Eileen Kelly
- Rebecca A Kincade
- Jennifer Lynn Klingenberger-Beyer
- Lisa Kominos
All providers in East Moriches, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.