Active NPI
Mary Regan, PA-C
- Physician Assistant
- Jamaica, NY
National Provider Identifier
1679944151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002702-1
- Practice address
- Building 125 JFK Airport
Jamaica, NY 11430 - Phone
- (718) 244-1644
- NPI assigned
- Oct 9, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002702-1 | NY | Primary |
Addresses
Primary practice location
Building 125 JFK Airport
Jamaica, NY 11430
Mailing address
Building 125 JFK Airport
Jamaica, NY 11430
Phone (718) 244-1644
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002702-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital, Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Howard Beach, NY
- NPI 1235434036
-
- Urgent Care Clinic/Center
- East Northport, NY
- NPI 1881978021
-
- Urgent Care Clinic/Center
- Nesconset, NY
- NPI 1851679252
-
- Urgent Care Clinic/Center
- New Hyde Park, NY
- NPI 1952652281
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1235413477
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1154684207
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1679944151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUILDING 125 JFK AIRPORT",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11430",
"telephone_number": "718-244-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 125 JFK AIRPORT",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11430",
"telephone_number": "718-244-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002702-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.