Individual provider Active NPI

Daniel J McDole, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1669632618
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
256205-1 Issued in NY
Practice address
68 Sterling St
Brooklyn, NY 11225-3319
Phone
(917) 745-2916
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME128128 FL
Anesthesiology Physician 207L00000X 256205-1 NY Primary

Addresses

Primary practice location

68 Sterling St
Brooklyn, NY 11225-3319

Mailing address

68 Sterling St
Brooklyn, NY 11225-3319
Phone (917) 745-2916

Other identifiers 1

IdentifierTypeStateIssuer
03369055MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128128FLMDAnesthesiology Physician
256205-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Anesthesia PLLC Anesthesiology CurrentSince Apr 19, 2020 Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1669632618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253319",
            "telephone_number": "917-745-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253319",
            "telephone_number": "917-745-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOLE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME128128",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "256205-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03369055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.