Active NPI
John M Crean, M.D.
- Cardiovascular Disease Physician
- Riverhead, NY
National Provider Identifier
1881697100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 174900
- Practice address
- 1279 E Main St
Riverhead, NY 11901-2583 - Phone
- (631) 727-2100
- Fax
- (631) 727-2646
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 174900 | NY | Primary |
Addresses
Primary practice location
1279 E Main St
Riverhead, NY 11901-2583
Mailing address
1279 E Main St
Riverhead, NY 11901-2583
Phone (631) 727-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01521264 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcrean238818@nyumc.direct-ci.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York at Stony Brook, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-2701
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Medical Group of Mineola, PC | Past | Accepting new patients |
Locations
201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
1279 E Main St
Riverhead, NY 11901
Phone (631) 727-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Cardiovascular Disease
-
- Psychiatry Physician
- Mineola, NY
- NPI 1255798096
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1881697100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012583",
"telephone_number": "631-727-2100",
"fax_number": "631-727-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012583",
"telephone_number": "631-727-2100",
"fax_number": "631-727-2646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAN",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "174900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01521264",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcrean238818@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1279 E Main St",
"city": "Riverhead",
"state": "NY",
"country_code": "US",
"postal_code": "119012583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.