Active NPI
Carol Angela McLean-Long, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1023176385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 185983
- Practice address
- Renaissance Health Care Network
215 W. 125TH St.
New York, NY 10027 - Phone
- (212) 932-6525
- Fax
- (212) 865-3581
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 185983 | NY | Primary |
Addresses
Primary practice location
Renaissance Health Care Network
215 W. 125TH St.
New York, NY 10027
Mailing address
778 Pelhamdale Ave
New Rochelle, NY 10801-1416
Phone (914) 633-5803
Other names 1
- Carol McLean
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Associates PC | Past | Accepting new patients | |
| Differences Practice Group LLC | Internal Medicine | Past | Accepting new patients |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New Rochelle, NY
- NPI 1871863266
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023176385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 PELHAMDALE AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011416",
"telephone_number": "914-633-5803",
"fax_number": "914-633-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RENAISSANCE HEALTH CARE NETWORK",
"address_2": "215 W. 125TH ST.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "212-932-6525",
"fax_number": "212-865-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN-LONG",
"first_name": "CAROL",
"middle_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "185983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "MCLEAN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.