Provider Demographics
NPI:1487415105
Name:NOIA, MEGAN KATHLEEN (MS, NP, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KATHLEEN
Last Name:NOIA
Suffix:
Gender:F
Credentials:MS, NP, AGPCNP-BC
Other - Prefix:MR
Other - First Name:MEGAN
Other - Middle Name:KATHLEEN
Other - Last Name:NOIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KLERSY
Mailing Address - Street 1:59 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2533
Mailing Address - Country:US
Mailing Address - Phone:631-655-6842
Mailing Address - Fax:
Practice Address - Street 1:59 SHORE RD
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2533
Practice Address - Country:US
Practice Address - Phone:631-655-6842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311519-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health