Individual provider Active NPI

Marsha Midgley, LPN

  • Family Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1679865133
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347050-01 Issued in NY
Practice address
2037 Seagirt Blvd
1D
Far Rockaway, NY 11691-2945
Phone
(516) 305-1497
NPI assigned
May 3, 2011
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347050-01 NY Primary
Licensed Practical Nurse 164W00000X 303565-1 NY

Addresses

Primary practice location

2037 Seagirt Blvd
1D
Far Rockaway, NY 11691-2945

Mailing address

2037 Seagirt Blvd
1D
Far Rockaway, NY 11691-2945
Phone (516) 305-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303565-1NYMDLicensed Practical Nurse
F347050-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1679865133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 SEAGIRT BLVD",
            "address_2": "1D",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912945",
            "telephone_number": "516-305-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 SEAGIRT BLVD",
            "address_2": "1D",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912945",
            "telephone_number": "516-305-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDGLEY",
        "first_name": "MARSHA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347050-01",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303565-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.