Nancy Patricia McKenna, CPNP-PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

381170 Issued in NY

Practice address

1111 Marcus Ave Ste M15
New Hyde Park, NY 11042-1034

Phone

(516) 601-7200

NPI assigned

Jan 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1649033945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421034",
            "telephone_number": "516-601-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421034",
            "telephone_number": "516-601-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "NANCY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "381170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen McConway-Vespe, R.N.
• Michael Thomas McDonagh, MD
• Davin McFarlane
• Stacy Ann Marie McFarlane
• Kaylie Rose McGivney, DO
• Lauren Marie McKeon, PHARM.D.
• Maryellen McKie, NP
• Harry Lee McKoy III, O.T.
• Amy E McLaughlin, MD
• Andrea Elizabeth McLaughlin, PH.D.

• Pediatrics Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.