Active NPI
Taharka Kingo McCleave, D.O.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 304303
- Practice address
- 450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012 - Phone
- (718) 245-3318
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 304303 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 21037 | NH | |
| Emergency Medicine Physician | 207P00000X | 25MB10861600 | NJ | |
| Emergency Medicine Physician | 207P00000X | 5101025677 | MI |
Addresses
Primary practice location
450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012
Phone (718) 245-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME, NJ, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-1304
Hospital & facility affiliations
- Mercy Hospital of Buffalo
- Sisters of Charity Hospital
- Kenmore Mercy Hospital
- Kings County Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304303 | NY | MD | Case Management Registered Nurse |
| 5101025677 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Community Hospital | Current | Accepting new patients | |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | Accepting new patients |
| New Hampshire Emergency Physician Associates PC | Emergency Medicine | Current | Accepting new patients |
| Calais Community Hospital | Current | Accepting new patients | |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current | Accepting new patients |
| Calais Community Hospital | Current | Accepting new patients | |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
| Calais Community Hospital | Current | Accepting new patients | |
| Plainfield Emergency Physicians, PA | Emergency Medicine | Current | Accepting new patients |
| Down East Community Hospital | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Kings County Hospital Center | Past | Accepting new patients |
Locations
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
65 James St
Edison, NJ 08820
Phone (732) 321-7010
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
122 DeKalb Ave
Brooklyn, NY 11217
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- General Acute Care Hospital
- Machias, ME
- NPI 1689670242
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Emergency Medicine Physician
- Edison, NJ
- NPI 1811921760
-
- Emergency Medicine Physician
- Wolfeboro, NH
- NPI 1629578000
-
- Emergency Medicine Physician
- Plainfield, NJ
- NPI 1659309680
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1225444516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1228",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-245-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1228",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-245-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEAVE",
"first_name": "TAHARKA",
"middle_name": "KINGO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "304303",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "21037",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10861600",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101025677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.