Active NPI
Thomas C. Megna, M.D.
- Specialist
- Staten Island, NY
National Provider Identifier
1861491110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 161272-1
- Practice address
- 4634 Amboy Road
Staten Island, NY 10312 - Phone
- (718) 317-9564
- Fax
- (718) 948-9469
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 161272 | NY | |
| Specialist | 174400000X | 161272-1 | NY | Primary |
Addresses
Primary practice location
4634 Amboy Road
Staten Island, NY 10312
Mailing address
4634 Amboy Road
Staten Island, NY 10312
Phone (718) 317-9564
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161272-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1861491110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4634 AMBOY ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-317-9564",
"fax_number": "718-948-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4634 AMBOY ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-317-9564",
"fax_number": "718-948-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGNA",
"first_name": "THOMAS",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "161272",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "161272-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.