Kevin Mullins MD PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

KEVIN MULLINS MD PC

Practice address

1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939

Phone

(631) 422-5371

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Mullins, MD

Title

President

Phone

(631) 422-5371

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1912054438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "SUITE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-422-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "SUITE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-422-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MULLINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-422-5371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DA9178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Margaret Kelly, PA-C
• Jessica Kenney, MS
• James Kern
• Alyssa P Kessel, MD
• Bradley Howard Kessler
• Asif Alam Khan, MD
• Hamza Habib Khan, PA-C
• Mozammal Khan, MD
• Muhammad Shayan Zeb Khan, MD
• Fahtima Khwaja

• Neurological Surgery Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.