Individual provider Active NPI

Kanika McCaughley, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1508517889
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348648 Issued in NY
Practice address
238 Vernon Ave Apt 1
Brooklyn, NY 11206-6631
Phone
(847) 807-9791
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 348648 NY Primary

Addresses

Primary practice location

238 Vernon Ave Apt 1
Brooklyn, NY 11206-6631

Mailing address

238 Vernon Ave Apt 1
Brooklyn, NY 11206-6631
Phone (847) 807-9791

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
I20260107003902 NY Practitioner - Nurse Practitioner 2062859309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Marcus Ave
Suite M04
New Hyde Park, NY 11040-3406

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348648NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: kojha2246356@nychhc.direct-ci.com

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1508517889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 VERNON AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066631",
            "telephone_number": "847-807-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 VERNON AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066631",
            "telephone_number": "847-807-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUGHLEY",
        "first_name": "KANIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.