MEGHAN MJ PROMNITZ FNP NPI 1699063495

NPI Information

  • NPI: 1699063495
  • Provider Name: MEGHAN MJ PROMNITZ, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 WEST AVE
    SUITE 103
    SARATOGA SPRINGS, NY
    ZIP 12866
  • Phone: (518) 583-0111

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NPI Details

Meghan Mj Promnitz, FNP is a family nurse practitioner in Saratoga Springs, NY with 15 years of experience. Meghan Mj Promnitz, FNP NPI is 1699063495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19 WEST AVE
SUITE 103
SARATOGA SPRINGS, NY
ZIP 12866-049
Phone: (518) 583-0111
Fax: (518) 583-2426

The NPI 1699063495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2011 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF336754NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102995513MEDICAIDNEW YORK
203388736MEDICAIDNEW YORK
353099AMEDICARE PINNEW YORK
4331833MEDICARE OSCAR/CERTIFICATIONNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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