Individual provider Active NPI

Meagan Ashley Cavanagh, FNP BC

  • Family Nurse Practitioner
  • Long Beach, NY
National Provider Identifier
1457044554
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350058 Issued in NY
Practice address
840 Shore Rd Apt 6E
Long Beach, NY 11561-5410
Phone
(516) 717-9489
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350058 NY Primary

Addresses

Primary practice location

840 Shore Rd Apt 6E
Long Beach, NY 11561-5410

Mailing address

840 Shore Rd Apt 6E
Long Beach, NY 11561-5410
Phone (516) 717-9489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Chandok MD PLLC CurrentSince Jul 31, 2023 Accepting new patients
New York University Past Accepting new patients

Locations

33 Walt Whitman Rd
Ste 100B
Huntington Station, NY 11746
Phone (631) 425-1000

Organizations & group practices 2

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1457044554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SHORE RD APT 6E",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615410",
            "telephone_number": "516-717-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SHORE RD APT 6E",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615410",
            "telephone_number": "516-717-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "MEAGAN",
        "middle_name": "ASHLEY",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.