Brian K Mcnulty (NPI# 1528047271, PAC ID# 8022111640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528047271 |
| PAC ID by PECOS | 8022111640 |
| Professional Enrollment ID | I20070319000630 |
| Full Name | Brian K Mcnulty |
| Organization Legal Name | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Address |
504 Main St B Center Moriches NY 11934-2232 |
| Phone Number | 6318782222 |
| Gender | M |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113817602 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330107 | PECONIC BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 504 Main St B, Center Moriches, NY 11934-2232 | 6318782222 | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Organization Legal Name | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Mataragas | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Victor Olujimi | Orthopedic Surgery | Peconic Bay Primary Medical Care PC | 64 Commerce Dr, Riverhaed, NY 11901 |
| Denis J Nankervis | General Surgery | Peconic Bay Primary Medical Care PC | 1267 E Main St, Riverhead, NY 11901-2676 |
| Sara A Cerrone | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Danielle Faye Stoebe | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| James L Earl | Nurse Practitioner | Peconic Bay Primary Medical Care PC | 32845 Main Rd, Cutchogue, NY 11935-1691 |
| Michael W Dempsey | Internal Medicine | Peconic Bay Primary Medical Care PC | 1333 Roanoke Ave, Suite 202, Riverhead, NY 11901-2029 |
| Luigi Buono | Family Medicine | Peconic Bay Primary Medical Care PC | 7905 Main Rd, Mattituck, NY 11952-1518 |
| Afzal M Butt | Internal Medicine | Peconic Bay Primary Medical Care PC | 34 Commerce Dr, Riverhaed, NY 11901 |
| Marc Puchir | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Street Address |
504 MAIN ST B |
| City | CENTER MORICHES |
| State | NY |
| Zip | 11934-2232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann B Morrill | Physician Assistant | Peconic Bay Primary Medical Care PC | 504 Main St B, Center Moriches, NY 11934-2232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke V Crowley | Podiatry | 15 N Ocean Ave, Center Moriches, NY 11934-1254 | |
| Luis J Ehrman Sr. | Nurse Practitioner | 6 Frowein Rd, Center Moriches, NY 11934-1604 | |
| Peter M Fiscina | Physical Therapy | 15 Frowein Rd, Bldg A1, Center Moriches, NY 11934-1607 | |
| Christina Derosa | Nurse Practitioner | South Bay Medical Care P.C. | 625 Main St, Center Moriches, NY 11934-2200 |
| Stephanie M Tomich | Physician Assistant | South Bay Medical Care P.C. | 625 Main St, Center Moriches, NY 11934-2200 |
| Candice Nicole King | Nurse Practitioner | South Bay Medical Care P.C. | 625 Main St, Center Moriches, NY 11934-2200 |
| David T Goldman | Family Medicine | South Bay Medical Care P.C. | 625 Main St, Center Moriches, NY 11934-2200 |
| Nitinkumar B Kamdar | Internal Medicine | 760 Main St, Suite 7, Center Moriches, NY 11934-2230 | |
| Jorge A Reiley | Neurology | 15 N Ocean Ave, Center Moriches, NY 11934-2320 | |
| Jane S Whitaker | Chiropractic | 247 Main St, Center Moriches, NY 11934-2405 | |
| Find all physicians in zip 11934 | |||
| City | CENTER MORICHES |
| Zip Code | 11934 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTER MORICHES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brian K Mcnulty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.