Active NPI
Virginia McHale
- Adult Health Nurse Practitioner
- Commack, NY
National Provider Identifier
1649653270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307329-1
- Practice address
- 6080 Jericho Tpke
Suite 314
Commack, NY 11725-2850 - Phone
- (631) 462-2200
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307329-1 | NY | Primary |
Addresses
Primary practice location
6080 Jericho Tpke
Suite 314
Commack, NY 11725-2850
Mailing address
6080 Jericho Tpke
Suite 314
Commack, NY 11725-2850
Phone (631) 462-2200
Other names 1
- Virginia Nicholes
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307329 | NY | MD | Licensed Practical Nurse |
| F307329-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Condon Medical PC | Current | Accepting new patients |
Locations
6080 Jericho Tpke
Commack, NY 11725
Phone (631) 462-2200
6080 Jericho Tpke
Ste 314
Commack, NY 11725
Phone (631) 462-2200
6080 Jericho Tpke
Ste 316
Commack, NY 11725
1715 N Ocean Ave
Medford, NY 11763
Phone (631) 462-2200
Interoperability endpoints
- virginia.nicholes.1@1427.direct.athenahealth.com
- https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Commack, NY
- NPI 1811174519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1649653270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 JERICHO TPKE",
"address_2": "SUITE 314",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252850",
"telephone_number": "631-462-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 JERICHO TPKE",
"address_2": "SUITE 314",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252850",
"telephone_number": "631-462-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHALE",
"first_name": "VIRGINIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307329-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "NICHOLES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.