Organization Active NPI

John F McNulty MD PC

  • Neurological Surgery Physician
  • Poughkeepsie, NY
National Provider Identifier
1053393587
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
206911 Issued in NY
Legal business name
JOHN F MCNULTY MD PC
Practice address
110 Main Street
Ste 1B
Poughkeepsie, NY 12601-6707
Phone
(845) 454-4949
Fax
(845) 454-8828
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
John F Ncnulty, MD
Title
President
Phone
(845) 454-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 206911 NY Primary

Addresses

Primary practice location

110 Main Street
Ste 1B
Poughkeepsie, NY 12601-6707

Mailing address

110 Main Street
Ste 1B
Poughkeepsie, NY 12601-6707
Phone (845) 454-4949

Other identifiers 1

IdentifierTypeStateIssuer
WEV151OtherNYMEDICARE ID

National Provider Directory

National Provider Directory

Locations

110 Main St
Ste 1B
Poughkeepsie, NY 12601
Phone (845) 454-4949

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1053393587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN STREET",
            "address_2": "STE 1B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016707",
            "telephone_number": "845-454-4949",
            "fax_number": "845-454-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN STREET",
            "address_2": "STE 1B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016707",
            "telephone_number": "845-454-4949",
            "fax_number": "845-454-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F MCNULTY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "NCNULTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-454-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "206911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WEV151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.