Individual provider Active NPI

David G Mackinnon, MD

  • Nuclear Cardiology Physician
  • New York, NY
National Provider Identifier
1831133115
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
145002 Issued in NY
Practice address
150 E 77TH St
New York, NY 10021-1922
Phone
(212) 439-6000
Fax
(212) 439-1526
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 145002 NY
Nuclear Cardiology Physician 207UN0901X 145002 NY Primary

Addresses

Primary practice location

150 E 77TH St
New York, NY 10021-1922

Mailing address

3141 45TH St
Long Island City, NY 11103-1621
Phone (718) 721-1500

Other identifiers 1

IdentifierTypeStateIssuer
00965848MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
145002NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William K Lee MD PA Cardiovascular Disease Past Accepting new patients
St. Joseph'S Healthcare, Inc. Past Accepting new patients
Broadway Cardiopulmonary, P.C. Cardiovascular Disease Past Accepting new patients
Cardiology Associates Cardiovascular Disease PastSince Nov 19, 1991 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJHBA

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831133115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 45TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031621",
            "telephone_number": "718-721-1500",
            "fax_number": "718-777-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211922",
            "telephone_number": "212-439-6000",
            "fax_number": "212-439-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "145002",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "145002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00965848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.