Active NPI
Robert McKay, M.D.
- Surgery Physician
- Schenectady, NY
National Provider Identifier
1700865714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 242030
- Practice address
- 624 McClellan Street
Suite G06
Schenectady, NY 12304-1020 - Phone
- (518) 347-5537
- Fax
- (518) 382-2295
- NPI assigned
- Jan 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD047669L | PA | |
| Surgery Physician | 208600000X | 242030 | NY | Primary |
Addresses
Primary practice location
624 McClellan Street
Suite G06
Schenectady, NY 12304-1020
Mailing address
624 McClellan Street
Suite G06
Schenectady, NY 12304-1020
Phone (518) 347-5537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01978909 | Medicaid | NY | |
| 001307325 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deerfield Behavioral Health of Warren, LLC | Past | Accepting new patients | |
| Corry Medical Services, Inc | 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.
-
- General Practice Physician
- Clymer, NY
- NPI 1538240684
-
- Psychiatry Physician
- Warren, PA
- NPI 1134158314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1700865714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MCCLELLAN STREET",
"address_2": "SUITE G06",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041020",
"telephone_number": "518-347-5537",
"fax_number": "518-382-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MCCLELLAN STREET",
"address_2": "SUITE G06",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041020",
"telephone_number": "518-347-5537",
"fax_number": "518-382-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD047669L",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "242030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01978909",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001307325",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.