John W McIvor, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

093421 Issued in NY

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(952) 595-1100

Fax

(952) 942-3361

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Albany Medical Center Hospital

  dba Albany Medical Center South Clinical Campus

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1811917461
  NPD (past)
• Brookhaven Memorial Hospital Medical Center

  • Diagnostic Radiology Physician
  • Patchogue, NY
  • NPI 1114014065
  NPD (past)
• Mercy Medical Center

  dba Mercy Medical Center - Radiology

  • Diagnostic Radiology Physician
  • Rockville Centre, NY
  • NPI 1124062369
  NPD (past)
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413
  NPD (past)
• Virtual Radiologic Professionals of New York, P.a.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1558455600
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1184607426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCIVOR",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "093421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00387279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonette McFarlane
• Lecia Andria McFarlane
• Emma McGill
• Brielle Theresa McGullam
• Marcella McInerney, MD
• Kandi McKinley
• Erin E McLaughlin, PA
• Meghan McLeod, LCSW
• Bria Denyse McManus, LPN
• Destini Inez McManus

• Diagnostic Radiology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.