John McCollum, MSN AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

312846 Issued in NY

Practice address

1100 Park Ave # 1B
New York, NY 10128-1202

Phone

(212) 920-6800

Fax

(212) 920-6249

NPI assigned

Oct 2, 2023

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1760262448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARK AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281202",
            "telephone_number": "212-920-6800",
            "fax_number": "212-920-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281202",
            "telephone_number": "212-920-6800",
            "fax_number": "212-920-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 5th Ave # 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214156",
            "country_code": "US",
            "telephone_number": "212-520-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "JOHN",
        "credential": "MSN AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312846",
            "primary": true
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "NY",
            "license": "850445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine McCluskey, LMSW
• Bryan McColgan, MD
• Nerissa McCollin
• Michele T McCollough, PA
• Jermaine McCollum
• Kelly McCombie, NP-C
• Benjamin McCommon, M.D.
• Susan McConnaughy, LCSW
• Brittany McConnell
• Casey McConnell

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.