MICHAEL DEGNAN (NPI# 1366937062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366937062 |
| Entity Type | Individual |
| Full Name | MICHAEL DEGNAN |
| Credential | NP-C |
| Practice Address |
859 Montauk Hwy Bayport NY 11705 |
| Mailing Address |
11 Fairway Dr Manorville NY 11949-2909 |
| Practice Telephone | 6318687200 |
| Mailing Telephone | 6317644841 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343414-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194389221 | Michael Edward Degnan | Anaplastologist | 1800 Niagara St, Buffalo, NY 14207-3113 | 2019-04-24 |
| 1902802572 | Michael G. Degnan | Family Medicine | 181 Webb Dr, Ste B, Davenport, FL 33837-3944 | 2005-06-28 |
| Street Address |
859 MONTAUK HWY |
| City | BAYPORT |
| State | NY |
| Zip Code | 11705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922357771 | Eleanor Palma | Psychologist | 859 Montauk Hwy, Suite 2, Bayport, NY 11705-1634 | 2012-09-06 |
| 1851907836 | Jennifer Somerville | Nurse Practitioner | 859 Montauk Hwy, Bayport, NY 11705-1634 | 2020-09-16 |
| 1700202629 | Lisa Marx, Do, Pllc | Clinic/Center | 859 Montauk Hwy, Suite 3, Bayport, NY 11705-1634 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559909 | Theresa Shanley Prosek | Occupational Therapist | 454 Sylvan Ave, Bayport, NY 11705 | 2018-12-16 |
| 1689032120 | Christine Neuberger | Speech-Language Pathologist | 7 Dolores Ct, Bayport, NY 11705 | 2016-01-28 |
| 1659761617 | Michael Dagro | Physical Therapist | 899 Montauk Hwy, Bayport, NY 11705 | 2015-01-29 |
| 1568860328 | Monalynn Shein | Counselor | 5 Browns River Road, Bayport, Bayport, NY 11705 | 2014-12-10 |
| 1851527899 | Casey Nicole Falen | Behavioral Analyst | 60 Barrett Ave, Bayport, NY 11705 | 2009-06-04 |
| 1699831495 | Martin Alan Rosolinsky | Social Worker | 982 Montauk Highway, Bayport, NY 11705 | 2006-12-28 |
| 1366504490 | Jane D Malone | Social Worker | 972 Montauk Hwy, Bayport, NY 11705 | 2006-12-14 |
| 1588150379 | Vanessa Sejour | Counselor | 972 Montauk Hwy, Bayport, NY 11705 | 2018-07-05 |
| 1972960177 | Balance Chiropractice Inc | Physical Therapist | 730 Montauk Hwy, Bayport, NY 11705 | 2016-01-20 |
| 1114353315 | Autism Behavior Consulting, LLC | Community/Behavioral Health | 60 Barrett Ave, Bayport, NY 11705 | 2013-09-19 |
| Find all providers in zip 11705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907836 | Jennifer Somerville | Nurse Practitioner | 859 Montauk Hwy, Bayport, NY 11705-1634 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.