John Michael Nelligan, RPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007811-1 Issued in NY

Practice address

14 Mountain Ledge
Gansevoort, NY 12831-1858

Phone

(518) 584-4953

Fax

(518) 584-7916

NPI assigned

Oct 12, 2006

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnelligan@landmarkhealth-direct.org

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.

• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1255420089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311858",
            "telephone_number": "518-584-4953",
            "fax_number": "518-584-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311858",
            "telephone_number": "518-584-4953",
            "fax_number": "518-584-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIGAN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lyn Merchant, LPN
• Erin M Morine, DO
• Emma Moscato
• Christine Marie Murphy, CCC-SLP
• Kathleen A Murphy, CNM
• Jodi Novak, DVM
• Katie Anne Ogden, PHARM D
• Dana S. Paton, M.S., CCC-SLP
• Judy A Pawlick
• Bree Anna Pisacane, PT

• Physician Assistant in Gansevoort, NY
• Providers in Gansevoort, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.

Verify at the official NPI Registry.