Active NPI
John McNelis, MD
- Surgery Physician
- Mineola, NY
National Provider Identifier
1184794232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 161891
- Practice address
- 120 Mineola Blvd
Mineola, NY 11501-4073 - Phone
- (516) 663-3300
- Fax
- (516) 663-2780
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 161891 | NY | Primary |
Addresses
Primary practice location
120 Mineola Blvd
Mineola, NY 11501-4073
Mailing address
120 Mineola Blvd
Mineola, NY 11501-4073
Phone (516) 663-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01412073 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190604002770 | NY | Order and Referring Only - General Surgery | 1557462371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winthrop Surgical Associates, PC | Surgery | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jmcnelis839924@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1184794232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014073",
"telephone_number": "516-663-3300",
"fax_number": "516-663-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014073",
"telephone_number": "516-663-3300",
"fax_number": "516-663-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNELIS",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "161891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01412073",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.