MR. JOHN WILLIAM MCDONNELL JR.


Address: 301 E Main St, Bay Shore, NY 11706-8408
Phone: 6319683000

MR. JOHN WILLIAM MCDONNELL JR. (NPI# 1669081865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669081865
Entity Type Individual
Full Name MR. JOHN WILLIAM MCDONNELL JR.
Credential PA-C
Practice Address 301 E Main St
Bay Shore
NY 11706-8408
Mailing Address 46 Clearview Ave
Selden
NY 11784-3522
Practice Telephone 6319683000
Mailing Telephone 5709712546
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
025301 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
46 Clearview Ave, Selden, NY 117843522 5709712546

Other Providers JOHN MCDONNELL

NPI Name Taxonomy Address Enumeration
1114106036 John Thomas Mcdonnell Allergy & Immunology 46-001 Kamehameha Hwy Ste 401, Kaneohe, HI 96744-3788 2007-10-26
1487876140 John F. Mcdonnell Counselor 1700 Blount Rd, Pompano Beach, FL 33069-5105 2007-05-03
1679888424 John Carroll Mcdonnell Iv Pediatrics Naval Hospital Guam, Psc 490 Box 7606, Fpo, AP 96538 2010-08-17
1942394846 John Martin Mcdonnell Social Worker 3624 W 216th Street, Matteson, IL 60443-2713 2006-10-03

Office Location

Street Address 301 E MAIN ST
City BAY SHORE
State NY
Zip Code 11706-8408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467053959 Ebne Rafi Pharmacist 301 E Main St, Bay Shore, NY 11706-8408 2020-11-03
1154928711 Brittany Lee Mulligan Anesthesiology 301 E Main St, Bay Shore, NY 11706-8408 2020-10-07
1093322786 Aliesha Wahab Pharmacist 301 E Main St, Bay Shore, NY 11706-8458 2020-09-26
1316553795 Erica Anne Schott Pharmacist 301 E Main St, Bay Shore, NY 11706-8408 2020-09-21
1780296913 Chelsea Jensen Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-08-19
1205445566 Michele Lisa Guelfi Local Education Agency (LEA) 301 E Main St, Bay Shore, NY 11706-8458 2020-07-23
1740899921 Colleen Stubbs Nurse Practitioner 301 E Main St, Bay Shore, NY 11706-8458 2020-07-23
1063030757 Rigoberto Ventura Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-07-08
1780200709 Valerie Brooke Matedero Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-06-25
1922627934 Edward Theodore Perez Student in an Organized Health Care Education/Training Program 301 E Main St, Bay Shore, NY 11706-8458 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598394173 Erin Marie Barlow Student in an Organized Health Care Education/Training Program Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 2020-04-06
1003460890 Bay Shore Brightwaters Rescue Ambulance Inc. Ambulance 911 Aletta Place, Bay Shore, NY 11706 2019-07-30
1861980872 Raffy Gutman Student in an Organized Health Care Education/Training Program Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 2018-04-25
1609371004 Sengal Kelit Alazar Student in an Organized Health Care Education/Training Program South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 2018-03-27
1780198671 Stefany Gabriela Armijos Social Worker 144 Fifth Ave, Bay Shore, NY 11706 2017-11-30
1417476771 Jazmin Unda Jimenez Licensed Practical Nurse 236 Adams Ave, Bay Shore, NY 11706 2017-09-18
1013436989 People Pushers LLC Non-emergency Medical Transport (VAN) 50 Corbin Ave, Suite D, Bay Shore, NY 11706 2017-09-12
1871011585 Life Acupuncture & Massage Therapy P.C. Acupuncturist 387 East Main Street Suite 104, Bayshore, NY 11706 2017-09-01
1558881458 Wilda Novembre Licensed Practical Nurse 1742 North Thompson Drive, Bayshore, NY 11706 2017-06-21
1194184085 Georgette Prawl Nurse's Aide 54 1st Avenue, Bayshore, NY 11706 2016-02-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689058000 Tim Maring Physician Assistant 979 Thompson Dr, Bay Shore, NY 11706-7532 2015-07-15
1972734812 Iram Ahsanuddin Physician Assistant 1088 Spur Dr S, Bay Shore, NY 11706-4700 2009-07-27
1104067776 Edward Chow Physician Assistant 301 E Main St Bay Shore, Bay Shore, NY 11706-8408 2009-03-11
1437796612 Marina Yapport Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2019-12-05
1427694389 Austin J Borden Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2019-11-25
1548779853 Alyssa Ng Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2017-09-29
1740700541 Alyssa Eileen De Simone Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2017-06-22
1760929632 Sarah Williams Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2017-01-30
1770931982 Mohammad Esmaeilzadeh Physician Assistant 1700 Union Blvd, Bay Shore, NY 11706-7955 2016-05-27
1275827115 Shivannah Savatri Chiatar Physician Assistant 40 E Main St, Bay Shore, NY 11706-8301 2011-06-08
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Competitor

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City BAY SHORE
Zip Code 11706

Improve Information

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Dataset Information

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.

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