Healthcare Provider Details

I. General information

NPI: 1295993384
Provider Name (Legal Business Name): SHEILA GAUGHAN MAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEILA MARY GAUGHAN

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 S MIDDLETOWN RD STE 2
NANUET NY
10954-2961
US

IV. Provider business mailing address

9 ORIOLE RD
NEW CITY NY
10956-6313
US

V. Phone/Fax

Practice location:
  • Phone: 845-623-8700
  • Fax:
Mailing address:
  • Phone: 914-643-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025044631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: