Active NPI
Jeanette McCaughey
- Health Educator
- Jackson Heights, NY
National Provider Identifier
1891195020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 8317 34TH Ave
4B
Jackson Heights, NY 11372-3140 - Phone
- (646) 431-4115
- NPI assigned
- Aug 25, 2014
- Last updated
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
8317 34TH Ave
4B
Jackson Heights, NY 11372-3140
Mailing address
8317 34TH Ave
4B
Jackson Heights, NY 11372-3140
Phone (646) 431-4115
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024822 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Otpt | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Blauvelt, NY
- NPI 1992484489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1891195020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8317 34TH AVE",
"address_2": "4B",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113723140",
"telephone_number": "646-431-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8317 34TH AVE",
"address_2": "4B",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113723140",
"telephone_number": "646-431-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAUGHEY",
"first_name": "JEANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.