Provider Demographics
NPI:1386920445
Name:HIGGINS, MEGAN ASHLEY (PA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ASHLEY
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21 CLAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3304
Mailing Address - Country:US
Mailing Address - Phone:207-590-4692
Mailing Address - Fax:
Practice Address - Street 1:2 CROSFIELD AVE STE 420
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2212
Practice Address - Country:US
Practice Address - Phone:845-584-5844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51546363A00000X
NY015197363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant