Healthcare Provider Details

I. General information

NPI: 1528992393
Provider Name (Legal Business Name): MEGAN NIKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 E 76TH ST APT 3A
NEW YORK NY
10021-2592
US

IV. Provider business mailing address

439 E 76TH ST APT 3A
NEW YORK NY
10021-2592
US

V. Phone/Fax

Practice location:
  • Phone: 678-327-4517
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383861
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: