Active NPI
Jared Macklin
- Gastroenterology Physician
- Purchase, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 311211
- Practice address
- 3030 Westchester Ave
Purchase, NY 10577-2574 - Phone
- (914) 682-6466
- Fax
- (914) 681-5222
- NPI assigned
- Apr 9, 2013
- Last updated
- Jul 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 62570 | CT | |
| Gastroenterology Physician | 207RG0100X | 311211 | NY | Primary |
Addresses
Primary practice location
3030 Westchester Ave
Purchase, NY 10577-2574
Mailing address
800 Westchester Ave
Ste N715
Rye Brook, NY 10573-1369
Phone (914) 607-5730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York Downstate Medical Center, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 94 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435
800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jared.macklin.1@21260.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
CT, Gastroenterology
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1205279247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WESTCHESTER AVE",
"address_2": "STE N715",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731369",
"telephone_number": "914-607-5730",
"fax_number": "914-457-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772574",
"telephone_number": "914-682-6466",
"fax_number": "914-681-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "JARED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "62570",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "311211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.