Active NPI
April Junene McCullough, M.D.
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1730404823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 271385
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708000536 | NY | Practitioner - Ophthalmology | 6406071406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09523500 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Izak Herschitz MD PC | Ophthalmology | Past | 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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1902102742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.