Organization Active NPI

Sean E McCance MD PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1386912053
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
206625-1 Issued in NY
Legal business name
SEAN E MCCANCE MD PLLC
Practice address
1155 Park Avenue
Suite E
New York, NY 10128-1209
Phone
(212) 360-6500
Fax
(212) 360-6535
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Ms. Vilma S. Dimarco
Title
Billing Manager
Phone
(212) 360-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 206625-1 NY Primary

Addresses

Primary practice location

1155 Park Avenue
Suite E
New York, NY 10128-1209

Mailing address

1155 Park Avenue
Suite E
New York, NY 10128-1209
Phone (212) 360-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000513 NY Part B Supplier - Clinic/Group Practice 3577762319 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1386912053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 PARK AVENUE",
            "address_2": "SUITE E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281209",
            "telephone_number": "212-360-6500",
            "fax_number": "212-360-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PARK AVENUE",
            "address_2": "SUITE E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281209",
            "telephone_number": "212-360-6500",
            "fax_number": "212-360-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN E MCCANCE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "212-360-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "206625-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.