Individual provider Active NPI

Margaret Pulkingham, RN

  • School Registered Nurse
  • Sag Harbor, NY
National Provider Identifier
1487964383
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
512607-1 Issued in NY
Practice address
200 Jermain Ave
Sag Harbor, NY 11963-3549
Phone
(631) 725-5301
Fax
(631) 725-5331
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 512607-1 NY Primary

Addresses

Primary practice location

200 Jermain Ave
Sag Harbor, NY 11963-3549

Mailing address

200 Jermain Ave
Sag Harbor, NY 11963-3549
Phone (631) 725-5301

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
512607-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sag Harbor Ufsd 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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1487964383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JERMAIN AVE",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633549",
            "telephone_number": "631-725-5301",
            "fax_number": "631-725-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JERMAIN AVE",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633549",
            "telephone_number": "631-725-5301",
            "fax_number": "631-725-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULKINGHAM",
        "first_name": "MARGARET",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "512607-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sag Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.