Individual provider Active NPI

Heather Magnan, MD

  • Pediatrics Physician
  • Sleepy Hollow, NY
National Provider Identifier
1861659153
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
234875 Issued in NY
Practice address
755 N Broadway Ste 500
Sleepy Hollow, NY 10591-1077
Phone
(914) 425-7590
Fax
(914) 425-7591
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 234875 NY
Pediatrics Physician 208000000X 234875 NY Primary

Addresses

Primary practice location

755 N Broadway Ste 500
Sleepy Hollow, NY 10591-1077

Mailing address

755 N Broadway Ste 500
Sleepy Hollow, NY 10591-1077
Phone (149) 425-7590

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000824 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 6608903224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Pediatrics CurrentSince May 28, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince May 28, 2017 Accepting new patients

Locations

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

410 N Broadway
White Plains, NY 10603
Phone (914) 948-0353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1861659153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 500",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "149-425-7590",
            "fax_number": "914-425-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 500",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "914-425-7590",
            "fax_number": "914-425-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNAN",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "234875",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.