NPIMap

Individual provider Active NPI

John A Alley, MD

  • Family Medicine Physician
  • Marcellus, NY
National Provider Identifier
1598727554
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
196637 Issued in NY
Practice address
28 1/2 E Main St
Marcellus, NY 13108-1226
Phone
(315) 673-9926
Fax
(315) 673-9465
NPI assigned
Apr 5, 2006
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 196637 NY Primary
Emergency Medicine Physician 207P00000X 196637 NY

Addresses

Primary practice location

28 1/2 E Main St
Marcellus, NY 13108-1226

Mailing address

28 1/2 E Main St
Marcellus, NY 13108-1226
Phone (315) 673-9926

Other identifiers 1

IdentifierTypeStateIssuer
02187460MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001004 NY Practitioner - Family Practice 2769466093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Marcellus Family Medicine PLLCGroup PAC ID 6406938646, 3 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

28 /2 E Main St
Marcellus, NY 13108-1226
Phone (315) 673-9926

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.07 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
75.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marcellus Family Medicine PLLC Family Medicine CurrentSince Feb 11, 2008 Accepting new patients
Marcellus Family Medicine PLLC Current Accepting new patients
Cma Medical Practice PLLC Emergency Medicine CurrentSince Dec 31, 2019 Accepting new patients
Familycare Medical Group, PC Family Medicine PastSince Feb 11, 2008 Accepting new patients

Locations

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

28 E Main St
Marcellus, NY 13108
Phone (315) 673-1131

28 E Main St
#1-2
Marcellus, NY 13108
Phone (315) 673-9926

Interoperability endpoints

  • Direct secure messaging: jalley@mfm2013.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1598727554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 1/2 E MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081226",
            "telephone_number": "315-673-9926",
            "fax_number": "315-673-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 1/2 E MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081226",
            "telephone_number": "315-673-9926",
            "fax_number": "315-673-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "196637",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "196637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

Verify at the official NPI Registry.