Individual provider Active NPI

Megan Brie Resnick, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1417624891
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403670 Issued in NY
Practice address
2000 Marcus Ave
New Hyde Park, NY 11042-1069
Phone
(516) 321-6100
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403670 NY Primary

Addresses

Primary practice location

2000 Marcus Ave
New Hyde Park, NY 11042-1069

Mailing address

8 Carriage Dr
Kings Park, NY 11754-2806
Phone (631) 219-0041

Other practice location 1

88 Terry Rd Fl 1
Smithtown, NY 11787-3811
Phone (631) 804-1815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000747 NY Practitioner - Nurse Practitioner 0547653537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

88 Terry Rd
FL 1
Smithtown, NY 11787-3811
Phone (631) 804-1815

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403670NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Suffolk Hospital CurrentSince Feb 1, 2022 Accepting new patients
Central Suffolk Hosptial CurrentSince Feb 1, 2022 Accepting new patients
Megan Resnick Nurse Practitioner in Psychiatry PC Psychiatric/Mental Health CurrentSince Nov 21, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 29, 2021 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

300 Community Dr
Plandome, NY 11030

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

88 Terry Rd
Fl 1
Smithtown, NY 11787
Phone (631) 804-1815

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1417624891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CARRIAGE DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542806",
            "telephone_number": "631-219-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421069",
            "telephone_number": "516-321-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Terry Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873811",
            "country_code": "US",
            "telephone_number": "631-804-1815",
            "fax_number": "631-304-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "MEGAN",
        "middle_name": "BRIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.