Individual provider Active NPI

Heather A. McGowan, M.D.

  • Pediatrics Physician
  • Tuckahoe, NY
National Provider Identifier
1639245244
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
216946 Issued in NY
Practice address
115 Main Street
Suite 301
Tuckahoe, NY 10707-2911
Phone
(914) 771-7070
Fax
(914) 771-7073
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 216946 NY Primary

Addresses

Primary practice location

115 Main Street
Suite 301
Tuckahoe, NY 10707-2911

Mailing address

115 Main Street
Suite 301
Tuckahoe, NY 10707-2911
Phone (914) 771-7070

Other practice location 1

1916 Park Ave Ste 412
New York, NY 10037-3738
Phone (800) 421-2031

Other identifiers 1

IdentifierTypeStateIssuer
02270928MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216946NYMDPediatrics Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Village Pediatric Group PLLC Pediatrics Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: heathermcgowan@cayugacenters29inyc.medentdirect.com
  • Direct secure messaging: heathermcgowan@cayugacenters.medentdirect.com
  • Direct secure messaging: heather.mcgowan.1@32321.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heathermcgowan@vpg.allscriptsdirect.net

Organizations & group practices 3

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1639245244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN STREET",
            "address_2": "SUITE 301",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-771-7070",
            "fax_number": "914-771-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN STREET",
            "address_2": "SUITE 301",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-771-7070",
            "fax_number": "914-771-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 Park Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100373738",
            "country_code": "US",
            "telephone_number": "800-421-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "216946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02270928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.