John Michael Purcell Jr., M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

236184 Issued in NY

Practice address

1520 Route 9
Clifton Park, NY 12065-5669

Phone

(518) 482-1090

NPI assigned

Oct 26, 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

Other identifiers 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole M O'Brien Nurse Practitioner in Family Health PLLC

  • Nurse Practitioner
  • Halfmoon, NY
  • NPI 1497591523
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568547669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655669",
            "telephone_number": "518-482-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655669",
            "telephone_number": "518-482-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "236184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11489483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Services, Inc.
• Jennifer Lynn Price, LMHC
• Prime Time 786 Inc (Prime Time Taxi)
• Ann Marie Pro
• Proactive Chiropractic, PLLC
• John Michael Purcell Sr., MD
• Beulah Puthuparampil-Mehta, DO
• Quality Hearing Instruments LLC (Miracle Ear)
• Dena-Marie Quay, OTR/L
• R&M Neuropsychology, PLLC

• Critical Care Medicine (Internal Medicine) Physician in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Critical Care Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.