Active NPI
John F McNulty MD PC
- Neurological Surgery Physician
- Poughkeepsie, NY
National Provider Identifier
1053393587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 206911
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WEV151 | Other | NY | MEDICARE ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurological Surgery Physician
- Poughkeepsie, NY
- NPI 1710979174
-
- Neurological Surgery Physician
- Rhinebeck, NY
- NPI 1255314332
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.