Active NPI
Kathryn Heneghan, MSED
- Specialist
- Point Lookout, NY
National Provider Identifier
1427508548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 325625
- Practice address
- 17 Freeport Ave
Point Lookout, NY 11569-3015 - Phone
- (516) 432-1079
- NPI assigned
- Oct 12, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 325625 | NY | Primary |
Addresses
Primary practice location
17 Freeport Ave
Point Lookout, NY 11569-3015
Mailing address
17 Freeport Ave
PO Box 427
Point Lookout, NY 11569-3015
Phone (516) 432-1079
Other names 1
- Kathryn Magale
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 |
|---|---|---|---|
| 325625 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1427508548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FREEPORT AVE",
"address_2": "PO BOX 427",
"city": "POINT LOOKOUT",
"state": "NY",
"postal_code": "115693015",
"telephone_number": "516-432-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 FREEPORT AVE",
"city": "POINT LOOKOUT",
"state": "NY",
"postal_code": "115693015",
"telephone_number": "516-432-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEGHAN",
"first_name": "KATHRYN",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "325625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MAGALE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Point Lookout, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.