Active NPI
John McClung, MD
- Cardiovascular Disease Physician
- Hawthorne, NY
National Provider Identifier
1295738136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1275841
- Practice address
- 19 Bradhurst Ave
Hawthorne, NY 10532-2140 - Phone
- (914) 909-6900
- Fax
- (914) 493-2828
- NPI assigned
- May 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 1275841 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave
Hawthorne, NY 10532-2140
Mailing address
100 Woods Rd
TCC Room D368
Valhalla, NY 10595-1530
Phone (914) 493-7530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00712083 | Medicaid | NY | |
| 060023508 | Other | NY | RAIL ROAD MEDICARE |
| 76A93K221 | Other | NY | PTAN |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Westchester Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1275841 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultantsof Westchester, PC | Cardiovascular Disease | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1508144130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1295738136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"address_2": "TCC ROOM D368",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7530",
"fax_number": "914-493-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-6900",
"fax_number": "914-493-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "1275841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00712083",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "060023508",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "76A93K221",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.