Active NPI
Heather A. McGowan, M.D.
- Pediatrics Physician
- Tuckahoe, NY
National Provider Identifier
1639245244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 216946
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02270928 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 216946 | NY | MD | Pediatrics Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New 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
- heathermcgowan@cayugacenters29inyc.medentdirect.com
- heathermcgowan@cayugacenters.medentdirect.com
- heather.mcgowan.1@32321.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatrics
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- Man in Motion Physical Therapy PLLC
- Matthew Mariani, OTR,BS
- Theresa M. Marsh, M.A CCC-SLP
- Meghan Elizabeth McAuley, MS CCC SLP
- Margaret McCabe
- Paige J McHale, MA CCC SLP
- Elizabeth Ann McNamara, M.A., CCC-SLP
- Montefiore Medical Center
- Montefiore Medical Center North Division
- Clifford George Nyman, DDS
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.