DR. BRIAN K MCNULTY (NPI# 1528047271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528047271 |
| Entity Type | Individual |
| Full Name | DR. BRIAN K MCNULTY |
| Credential | MD |
| Practice Address |
504 Montauk Hwy Ste B Center Moriches NY 11934-2232 |
| Practice Telephone | 6318782222 |
| Practice Fax Number | 6318784129 |
| Mailing Telephone | 6318782222 |
| Mailing Fax Number | 6318784129 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2378421 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02848319 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407978455 | Brian Robert Mcnulty | Counselor | 706 Kimberly Ann Cir, Mandeville, LA 70471-6732 | 2007-04-03 |
| 1376582106 | Brian F Mcnulty | Audiologist | 825 Washington St Ste 310, Norwood, MA 02062-3481 | 2006-06-06 |
| 1982824538 | Brian Patrick Mcnulty | Dentist | 3014 Baucom Rd, Suite 200, Charlotte, NC 28269-0985 | 2007-04-26 |
| 1487642955 | Brian M Mcnulty | Obstetrics & Gynecology | 13601 Bruce B Downs Blvd, Suite 321, Tampa, FL 33613-4657 | 2005-10-10 |
| Street Address |
504 MONTAUK HWY STE B |
| City | CENTER MORICHES |
| State | NY |
| Zip Code | 11934-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952599821 | Ann B Morrill | Physician Assistant | 504 Montauk Hwy Ste B, Center Moriches, NY 11934-2232 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915381 | Julie Stuart | Licensed Practical Nurse | 43 Railroad Ave, Center Moriches, NY 11934 | 2015-06-25 |
| 1932508520 | Christopher Gene Doloroso | Social Worker | 408 Main Street #3, Center Moriches, NY 11934 | 2014-08-19 |
| 1710236211 | Jeannine Casper | Behavioral Analyst | 20 Senix Avenue, Center Moriches, NY 11934 | 2012-08-30 |
| 1255600243 | Ellen Stein | Counselor | 129 Hewitt Blvd., Center Moriches, NY 11934 | 2011-12-20 |
| 1295035491 | Philip Henry Antz | Social Worker | 220 Mainstreet, Center Moriches, NY 11934 | 2010-10-22 |
| 1215169602 | Holly Lee Gordon | Social Worker | 408 Main St South, Center Moriches, NY 11934 | 2009-08-18 |
| 1740415744 | Sleep Disorder Center | Internal Medicine | 356 Maind St, Center Moriches, NY 11934 | 2009-05-19 |
| 1033358957 | Louise Florence Colon | Registered Nurse | 40 Trainor Ave, Center Moriches, NY 11934 | 2009-02-17 |
| 1710150271 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 21 Montauk Highway, Center Moriches, NY 11934 | 2008-04-07 |
| 1518096437 | Pamela Anne Mcdonald | Speech-Language Pathologist | 77 Union Street, Out East Occupational Therapy PC, Center Moriches, NY 11934 | 2007-03-05 |
| Find all providers in zip 11934 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578718110 | Lisa Gaye Ramsay | Family Medicine | 625 Main St, Center Moriches, NY 11934-2200 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTER MORICHES |
| Zip Code | 11934 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.