Cedric McKinney, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

268917 Issued in NY

Practice address

176 3Rd Ave
New York, NY 10003-2520

Phone

(212) 420-0222

Fax

(917) 338-0941

NPI assigned

Feb 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1124324504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CRANBURY RD UNIT 906",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088168039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032520",
            "telephone_number": "212-420-0222",
            "fax_number": "917-338-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103051930",
            "country_code": "US",
            "telephone_number": "718-502-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CEDRIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10677100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carina Ann McKinley
• George F McKinley, M.D.
• Mark McKinley, PSY.D.
• Shakirra McKinley
• Zoe McKinnell
• Phyllis McKinney, NP
• Shannon Rose McKinney
• Anna S McKinnon, LMSW
• Joan McKinnon, FNP-C
• Nicole Katherine Ann McKinnon, M.D., PH.D

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.