Individual provider Active NPI

April Junene McCullough, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1730404823
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
271385 Issued in NY
Practice address
1150 Brighton Beach Ave Apt 1Y
Brooklyn, NY 11235-5954
Phone
(718) 332-1777
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA09523500 NJ
Ophthalmology Physician 207W00000X 271385 NY Primary

Addresses

Primary practice location

1150 Brighton Beach Ave Apt 1Y
Brooklyn, NY 11235-5954

Mailing address

110 Fisher Ave Apt 4G
Eastchester, NY 10709-2621
Phone (517) 819-5305

Other names 1

  • Mrs. April Junene Ihle Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nyeyedoctor112@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140708000536 NY Practitioner - Ophthalmology 6406071406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09523500NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Izak Herschitz MD PC Ophthalmology PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1730404823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FISHER AVE APT 4G",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092621",
            "telephone_number": "517-819-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE APT 1Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355954",
            "telephone_number": "718-332-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "APRIL",
        "middle_name": "JUNENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09523500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "271385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nyeyedoctor112@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 Brighton Beach Ave Apt 1Y",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112355954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "IHLE",
            "middle_name": "JUNENE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.