Active NPI
Christine M O'Hagan Carlin, RPA-C
- Physician Assistant
- Belle Harbor, NY
National Provider Identifier
1639197130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007082
- Practice address
- 238 Beach 134TH St
Belle Harbor, NY 11694-1440 - Phone
- (631) 355-4646
- Fax
- (718) 474-7957
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007082 | NY | Primary |
Addresses
Primary practice location
238 Beach 134TH St
Belle Harbor, NY 11694-1440
Mailing address
238 Beach 134TH St
Belle Harbor, NY 11694-1440
Phone (631) 355-4646
Other practice location 1
327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-8211
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007082 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639197130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 BEACH 134TH ST",
"city": "BELLE HARBOR",
"state": "NY",
"postal_code": "116941440",
"telephone_number": "631-355-4646",
"fax_number": "718-474-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 BEACH 134TH ST",
"city": "BELLE HARBOR",
"state": "NY",
"postal_code": "116941440",
"telephone_number": "631-355-4646",
"fax_number": "718-474-7957"
}
],
"practiceLocations": [
{
"address_1": "327 Beach 19th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116914423",
"country_code": "US",
"telephone_number": "718-869-8211",
"fax_number": "718-869-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'HAGAN CARLIN",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.