NPIMap

Individual provider Active NPI

John Frances McNulty, MD

  • Neurological Surgery Physician
  • Rhinebeck, NY
National Provider Identifier
1255314332
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
206911 Issued in NY
Practice address
6369 Mill St
Suite 201
Rhinebeck, NY 12572-1406
Phone
(845) 516-4836
Fax
(845) 516-4233
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 206911 NY Primary

Addresses

Primary practice location

6369 Mill St
Suite 201
Rhinebeck, NY 12572-1406

Mailing address

6369 Mill St
Suite 201
Rhinebeck, NY 12572-1406
Phone (845) 516-4836

Other identifiers 2

IdentifierTypeStateIssuer
01771035MedicaidNY
2M1101OtherNYMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000271 NY Practitioner - Neurosurgery 5294728598 Reassigns benefits to 1 organization
Practice locations: Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eriver Neurology of New York LLCGroup PAC ID 5193759033, 4 clinicians

Practice addresses (Care Compare)

200 Westage Bus Ctr Dr
Suite 324
Fishkill, NY 12524-2265
Phone (845) 452-9750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206911NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eriver Neurology of New York. LLC CurrentSince Nov 1, 2021 Accepting new patients
G. S. Mehar Physician, P.C. Past Accepting new patients
John F McNulty MD PC Neurological Surgery PastSince Oct 7, 2002 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 324
Fishkill, NY 12524
Phone (845) 896-0611

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 160
Hudson, NY 12534
Phone (732) 887-3243

21 Fox St
Ste 102
Poughkeepsie, NY 12601
Phone 84542597950

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Fox St
Poughkeepsie, NY 12601

6369 Mill St
Ste 201
Rhinebeck, NY 12572
Phone (845) 516-4836

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA/Endpoint/HJIAAA
  • Direct secure messaging: jmcnulty@direct.health-quest.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1255314332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 MILL ST",
            "address_2": "SUITE 201",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721406",
            "telephone_number": "845-516-4836",
            "fax_number": "845-516-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 MILL ST",
            "address_2": "SUITE 201",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721406",
            "telephone_number": "845-516-4836",
            "fax_number": "845-516-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "JOHN",
        "middle_name": "FRANCES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "206911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01771035",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2M1101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.