Active NPI
Jennifer Christine Regan, P.A.
- Physician Assistant
- Floral Park, NY
National Provider Identifier
1982955233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015847
- Practice address
- 47 Willow St
Floral Park, NY 11001-3407 - Phone
- (516) 437-2027
- NPI assigned
- Sep 26, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015847 | NY | Primary |
Addresses
Primary practice location
47 Willow St
Floral Park, NY 11001-3407
Mailing address
47 Willow St
Floral Park, NY 11001-3407
Phone (516) 437-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- jer9124@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1982955233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WILLOW ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013407",
"telephone_number": "516-437-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WILLOW ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013407",
"telephone_number": "516-437-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.