Active NPI
Meaghan Keenan
- Specialist
- Bronx, NY
National Provider Identifier
1427748052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2641148
- Practice address
- 933B Morris Park Ave
Bronx, NY 10462-3711 - Phone
- (917) 701-7375
- NPI assigned
- May 8, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2641148 | NY | Primary |
Addresses
Primary practice location
933B Morris Park Ave
Bronx, NY 10462-3711
Mailing address
6820 Selfridge St Apt 3B
Forest Hills, NY 11375-5702
Phone (917) 331-4670
Other practice location 1
33 Ann St
Ossining, NY 10562-3209
Phone (929) 989-6305
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 |
|---|---|---|---|
| 2641148 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Blossom Therapeutic Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Ossining, NY
- NPI 1093442030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1427748052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 SELFRIDGE ST APT 3B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755702",
"telephone_number": "917-331-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933B MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104623711",
"telephone_number": "917-701-7375"
}
],
"practiceLocations": [
{
"address_1": "33 Ann St",
"address_purpose": "LOCATION",
"city": "Ossining",
"state": "NY",
"postal_code": "105623209",
"country_code": "US",
"telephone_number": "929-989-6305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENAN",
"first_name": "MEAGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2641148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.