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KRISTIN ROSE MCDONOUGH
NPI 1639741846
Physician Assistant - Medical in Hicksville, NY

Active since July 15, 2021
55 E OLD COUNTRY RD, HICKSVILLE, NY 11801(169) 876-4285 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Oct 12, 2021, Sep 16, 2021 and 1 more (4 updates tracked since 2021).

About Kristin Rose Mcdonough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN ROSE MCDONOUGH (NPI 1639741846) is an individual medical provider in Hicksville, New York, licensed in New York (026791) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1639741846
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN ROSE MCDONOUGH
Location Address55 E OLD COUNTRY RDHicksville, NY 11801-4293
Mailing Address1 Atlantic Ave Apt 78Farmingdale, NY 11735-2772 · (631) 560-5861
Phone(169) 876-4285
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateNovember 10, 20234 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1639741846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 026791
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 026791 (NY)
55 E OLD COUNTRY RD, Hicksville, NY 11801
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAX VILLATORO DPT
Physical Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 862-2662
LEVIATHAN WELLNESS PLLC
Clinic/Center (Ambulatory Surgical)
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 987-6428
ALEXIA SANTIAGO
Occupational Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 261-9750
CRISTINA FIORDIMONDO
Occupational Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 862-2662
HARMEET SINGH
Occupational Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 862-2662
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Occupational Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 226-1301
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
Physical Therapist
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 261-9750
KEZIA ROLLE
Physical Therapy Assistant
55 E OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 261-9750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Mcdonough's NPI number?

The NPI number for Kristin Mcdonough is 1639741846. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Kristin Mcdonough located?

Kristin Mcdonough practices at 55 E Old Country Rd, Hicksville, NY 11801. The listed phone number is (169) 876-4285.

What is Kristin Mcdonough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kristin Mcdonough was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.