Individual provider Active NPI

Robert J McCord, PA

  • Surgical Physician Assistant
  • Huntington Station, NY
National Provider Identifier
1346243268
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002007-1 Issued in NY
Practice address
206 East Jericho Turnpike
Huntington Station, NY 11746
Phone
(631) 847-0200
Fax
(631) 847-3525
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002007-1 NY Primary

Addresses

Primary practice location

206 East Jericho Turnpike
Huntington Station, NY 11746

Mailing address

206 East Jericho Turnpike
Huntington Station, NY 11746
Phone (631) 847-0200

Other identifiers 2

IdentifierTypeStateIssuer
970014578OtherNYRAILROAD MEDICARE
P2586035OtherNYOXFORD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000243 NY Practitioner - Physician Assistant 8123038130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Spine Care of Long Island PCGroup PAC ID 8820004161, 4 clinicians

Practice addresses (Care Compare)

206 E Jericho Tpke
Huntington Station, NY 11746-7330
Phone (631) 847-0200

206 E Jericho Turnpike
Huntington Station, NY 11746-7330

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as group
Quality
78.88
Improvement activities
40
Cost
81.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002007-1NYMDSurgical Physician Assistant

Organizations & group practices 1

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.

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": "1268956800000",
    "number": "1346243268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST JERICHO TURNPIKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-847-0200",
            "fax_number": "631-847-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EAST JERICHO TURNPIKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-847-0200",
            "fax_number": "631-847-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "002007-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970014578",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2586035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.