Individual provider Active NPI

Craig S. McCoy, M.D.

  • Anesthesiology Physician
  • Kingston, NY
National Provider Identifier
1104876135
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME92889 Issued in FL
Practice address
105 Marys Ave
Kingston, NY 12401-5829
Phone
(845) 338-2500
Fax
(845) 331-2530
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME92889 FL Primary

Addresses

Primary practice location

105 Marys Ave
Kingston, NY 12401-5829

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other practice location 1

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Other practice location 2

241 North Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Other practice location 3

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609001373 NY Practitioner - Anesthesiology 8921063272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince Dec 7, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Anesthesiology Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients
Ahp of Central Florida ASC LLC Anesthesiology Past Accepting new patients
TPS II of PA, LLC Anesthesiology Past Accepting new patients
Lakewood Ranch Anesthesia PL Anesthesiology Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients
Charles Cole Memorial D/B/a Upmc Cole Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

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 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1104876135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015829",
            "telephone_number": "845-338-2500",
            "fax_number": "845-331-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42084 State Highway 28",
            "address_purpose": "LOCATION",
            "city": "Margaretville",
            "state": "NY",
            "postal_code": "124552820",
            "country_code": "US",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-1638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "845-483-5000",
            "fax_number": "914-909-9028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CRAIG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME92889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.