Active NPI
Joan Marie Flanigan, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1851407175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 101735
- Practice address
- 256 West 10TH Street
Apt 4C
New York, NY 10014-6522 - Phone
- (212) 691-3819
- NPI assigned
- Aug 21, 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 | 101735 | NY | Primary |
Addresses
Primary practice location
256 West 10TH Street
Apt 4C
New York, NY 10014-6522
Mailing address
256 West 10TH Street
Apt 4C
New York, NY 10014-6522
Phone (212) 691-3819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00175195 | Medicaid | NY | |
| 57898-1 | Other | BC/BS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101735 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851407175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 WEST 10TH STREET",
"address_2": "APT 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146522",
"telephone_number": "212-691-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 WEST 10TH STREET",
"address_2": "APT 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146522",
"telephone_number": "212-691-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "101735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00175195",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "57898-1",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.