Active NPI
John Michael Purcell Sr., MD
- Dermatology Physician
- Clifton Park, NY
National Provider Identifier
1770558652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 099499
- Practice address
- 1520 Route 9
Clifton Park, NY 12065-5669 - Phone
- (518) 482-1515
- Fax
- (518) 383-3376
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 099499 | NY | Primary |
Addresses
Primary practice location
1520 Route 9
Clifton Park, NY 12065-5669
Mailing address
818 Washington Ave
Albany, NY 12203
Phone (518) 482-1515
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole M O'Brien Nurse Practitioner in Family Health PLLC | Current | Accepting new patients |
Locations
1520 Route 9
Halfmoon, NY 12065
Phone (518) 371-7723
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Latham, NY
- NPI 1821193806
-
- Family Nurse Practitioner
- Halfmoon, NY
- NPI 1699325654
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.
-
- Nurse Practitioner
- Halfmoon, NY
- NPI 1497591523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1770558652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 WASHINGTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12203",
"telephone_number": "518-482-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ROUTE 9",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655669",
"telephone_number": "518-482-1515",
"fax_number": "518-383-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "099499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.