Paul Charles McCullough, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

140640-01 Issued in NY

Practice address

295 Flatbush Avenue Ext FL 4
Brooklyn, NY 11201-3001

Phone

(718) 249-1468

Fax

(718) 249-1488

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1942257035
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  dba Department of Medicine

  • Internal Medicine Physician
  • New York, NY
  • NPI 1437176047
  Medicare reassignment NPD
• City of New York Office of Payroll Administration

  dba NYC Dept of Health & Mental Hygiene Washington Heights

  • State or Local Public Health Clinic/Center
  • New York, NY
  • NPI 1548201882
  NPD
• City of New York Office of Payroll Administration

  dba New York City Department of Health & Mental Hygienes Manhattanville H

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1659327674
  NPD
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Richmond

  • Community Health Clinic/Center
  • Staten Island, NY
  • NPI 1366499444
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYC DOHMH Crown Heights HC

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1679501647
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYCDOH Morrisania Dist Ctr

  • State or Local Public Health Clinic/Center
  • Bronx, NY
  • NPI 1811925605
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYCDOHMH Bushwick District

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1912953035
  NPD (past)
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Fort Green District Heal

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1982624276
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1528003654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-249-1468",
            "fax_number": "718-249-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "PAUL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140640-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline McCulloch, RN
• Norman Hugh Scott McCulloch, PHYSICIAN ASSISTANT
• Allison McCullough, LCSW
• April Junene McCullough, M.D.
• Jordan Todd McCullough, DMD
• Ronald McCullough, PA
• Paige McCurdy-Flynn
• Rachael E McCurdy, LCSW
• Katherine McCusker, MHC-LP
• Lisa M McDale, MS.ED

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.