NPIMap

Organization Active NPI

John R. Kearney, MD, Eye Physician & Surgeon, PC

  • Ophthalmology Physician
  • Johnstown, NY
National Provider Identifier
1336197011
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
116539 Issued in NY
Legal business name
JOHN R. KEARNEY, MD, EYE PHYSICIAN & SURGEON, PC
Practice address
135 County Highway 128
Johnstown, NY 12095-3823
Phone
(518) 762-2020
Fax
(518) 736-1200
NPI assigned
May 4, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
John R Kearney, MDNPI 1326096793
Title
President
Phone
(518) 762-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 116539 NY Primary

Addresses

Primary practice location

135 County Highway 128
Johnstown, NY 12095-3823

Mailing address

135 County Highway 128
Johnstown, NY 12095-3823
Phone (518) 762-2020

Other names 1

  • J R Kearney MD Eye Physician & Surgeon PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000014 NY Part B Supplier - Clinic/Group Practice 5092755744 Receives reassigned benefits from 2 practitioners
Practice locations: Amsterdam, NY; Gloversville, NY; Utica, NY

National Provider Directory

National Provider Directory

Locations

110 N Pine St
Gloversville, NY 12078
Phone (518) 762-2020

135 County Highway 128
Johnstown, NY 12095
Phone (518) 762-2020

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1336197011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COUNTY HIGHWAY 128",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953823",
            "telephone_number": "518-762-2020",
            "fax_number": "518-736-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COUNTY HIGHWAY 128",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953823",
            "telephone_number": "518-762-2020",
            "fax_number": "518-736-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. KEARNEY, MD, EYE PHYSICIAN & SURGEON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-762-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "116539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J R Kearney MD Eye Physician & Surgeon PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.