Organization Active NPI

Orville W McLenan MD PC

  • Specialist
  • Freeport, NY
National Provider Identifier
1265614705
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199719-1 Issued in NY
Legal business name
ORVILLE W MCLENAN MD PC
Practice address
294 W Merrick Rd
#2
Freeport, NY 11520-3374
Phone
(516) 378-0123
Fax
(516) 378-0148
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Orville W McLenan, M.D.
Title
Owner
Phone
(516) 378-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 199719-1 NY Primary

Addresses

Primary practice location

294 W Merrick Rd
#2
Freeport, NY 11520-3374

Mailing address

294 W Merrick Rd
#2
Freeport, NY 11520-3374
Phone (516) 378-0123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1265614705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "#2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-378-0123",
            "fax_number": "516-378-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "#2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-378-0123",
            "fax_number": "516-378-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORVILLE W MCLENAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MCLENAN",
        "authorized_official_first_name": "ORVILLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-378-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.