Active NPI
Brianna Mulqueen
- Physician Assistant
- Levittown, NY
National Provider Identifier
1982217824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026243
- Practice address
- 35 Woodpecker LN
Levittown, NY 11756-3212 - Phone
- (516) 521-3687
- NPI assigned
- Aug 29, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 026243 | NY | Primary |
Addresses
Primary practice location
35 Woodpecker LN
Levittown, NY 11756-3212
Mailing address
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 521-3687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- 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 |
|---|---|---|---|
| 026243 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Neonatal-Perinatal Medicine Physician
- Rockville Centre, NY
- NPI 1396212445
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1982217824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-521-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WOODPECKER LN",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563212",
"telephone_number": "516-521-3687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULQUEEN",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.