Active NPI
Victoria A Meehan, OTR/L
- Specialist
- Warwick, NY
National Provider Identifier
1992958623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 014844
- Practice address
- 166 Blooms Corners Rd
Warwick, NY 10990-2308 - Phone
- (845) 258-0237
- Fax
- (845) 988-5972
- NPI assigned
- Oct 26, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 014844 | NY | Primary |
Addresses
Primary practice location
166 Blooms Corners Rd
Warwick, NY 10990-2308
Mailing address
166 Blooms Corners Rd
Warwick, NY 10990-2308
Phone (845) 258-0237
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014844 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224979200000",
"number": "1992958623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 BLOOMS CORNERS RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902308",
"telephone_number": "845-258-0237",
"fax_number": "845-988-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 BLOOMS CORNERS RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902308",
"telephone_number": "845-258-0237",
"fax_number": "845-988-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "VICTORIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-26",
"last_updated": "2008-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "014844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.