NPIMap

Individual provider Active NPI

John Nicholas Mullins

  • Diagnostic Radiology Physician
  • Jamaica, NY
National Provider Identifier
1891158093
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22735 Issued in NH
Practice address
8268 164TH St
Jamaica, NY 11432-1121
Phone
(718) 883-3000
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22735 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8268 164TH St
Jamaica, NY 11432-1121

Mailing address

PO Box 3190
Dublin, OH 43016-0089
Phone (207) 784-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721002817 NH Practitioner - Diagnostic Radiology 7810231842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PLLCGroup PAC ID 8224468137, 6 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311

605 Lafayette Rd
Portsmouth, NH 03801-5406
Phone (603) 658-2344

Hospital & facility affiliations

  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22735NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC CurrentSince Sep 6, 2022 Accepting new patients
Core Physicians LLC CurrentSince Sep 6, 2022 Accepting new patients
Advanced Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients

Locations

96 Calef Hwy
Unit 6
Epping, NH 03042
Phone (603) 679-5114

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972

605 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 427-6600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1891158093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3190",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160089",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "22735",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.