Active NPI
John Dennis Patrick McErleane, CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1629530845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026012
- Practice address
- 1110 2ND Ave RM 302
New York, NY 10022-2021 - Phone
- (212) 842-0080
- NPI assigned
- Apr 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026012 | NY | Primary |
Addresses
Primary practice location
1110 2ND Ave RM 302
New York, NY 10022-2021
Mailing address
12 Cristin CT
Stony Point, NY 10980-3018
Phone (845) 826-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026012 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1629530845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CRISTIN CT",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109803018",
"telephone_number": "845-826-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 2ND AVE RM 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222021",
"telephone_number": "212-842-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCERLEANE",
"first_name": "JOHN",
"middle_name": "DENNIS PATRICK",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026012",
"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 Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.