NPIMap

Individual provider Active NPI

John P. Gavin, M.D.

  • Pediatric Otolaryngology Physician
  • Albany, NY
National Provider Identifier
1023211745
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
244142 Issued in NY
Practice address
50 New Scotland Ave FL 2
Albany, NY 12208-3403
Phone
(518) 262-6240
Fax
(518) 262-4223
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 244142 NY Primary

Addresses

Primary practice location

50 New Scotland Ave FL 2
Albany, NY 12208-3403

Mailing address

50 New Scotland Ave FL 2
Albany, NY 12208-3403
Phone (518) 262-6240

Other identifiers 2

IdentifierTypeStateIssuer
02883094MedicaidNY
244142OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000043 NY Practitioner - Otolaryngology 5890726582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince May 1, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 1, 2022 Accepting new patients
Albany Medical College CurrentSince May 1, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
University Ear Nose and Throat of Northeastern New York LLP Past Accepting new patients
Ear, Nose & Throat Surgeons of Western New England, LLC Past Accepting new patients

Locations

35 Hackett Blvd
Albany, NY 12208
Phone (518) 262-2540

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

35 Hackett Blvd
#1
Albany, NY 12208
Phone (518) 262-4535

50 New Scotland Ave
Fl 2
Albany, NY 12208
Phone (518) 262-6240

1783 Route 9
Ste 207
Halfmoon, NY 12065

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

3050 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5108

101 Jordan Rd
Ste 201
Troy, NY 12180
Phone (518) 264-1180

Interoperability endpoints

  • Direct secure messaging: jgavin24768@albanymed.direct-ci.com
  • Direct secure messaging: jgavin788249@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1023211745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE FL 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-6240",
            "fax_number": "518-262-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE FL 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-6240",
            "fax_number": "518-262-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NY",
            "license": "244142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "244142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.