MISS MEAGAN MARIE O'DOHERTY R-PA-C
NPI 1770855363
Physician Assistant - Surgical in Manhasset, NY
About Miss Meagan Marie O'doherty R-pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MEAGAN MARIE O'DOHERTY R-PA-C (NPI 1770855363) is an individual surgical provider in Manhasset, New York, licensed in New York (015400) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Meagan Marie O'doherty R-pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
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 Meagan O'doherty's NPI number?
The NPI number for Meagan O'doherty is 1770855363. It was assigned to this individual provider in the NPPES registry on January 30, 2012.
Where is Meagan O'doherty located?
Meagan O'doherty practices at 300 Community Dr Attn: Surgery Department, Manhasset, NY 11030. The listed phone number is (516) 562-2822.
What is Meagan O'doherty's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Meagan O'doherty enrolled in Medicare?
Yes. Meagan O'doherty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Meagan O'doherty was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Miss Meagan Marie O'doherty, R-PA-C · NPI 1770855363
Surgical physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since January 30, 2012.
## Identity
- **NPI:** 1770855363 (Entity type: Individual)
- **Enumerated:** January 30, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 015400 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 COMMUNITY DR, ATTN: SURGERY DEPARTMENT, Manhasset, NY 11030-3816
- **Phone:** (516) 562-2822
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 30, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1770855363) · Data from the CMS NPPES public registry.