1912035205 NPI number — DR. JOHN FRANCIS MCGRAIL M.D.

Table of content: DR. JOHN FRANCIS MCGRAIL M.D. (NPI 1912035205)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912035205 NPI number — DR. JOHN FRANCIS MCGRAIL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGRAIL
Provider First Name:
JOHN
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912035205
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2910 MARINE PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEA ISLE CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08243-2262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-263-6108
Provider Business Mailing Address Fax Number:
609-861-5771

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1175 DEHIRSCH AVE
Provider Second Line Business Practice Location Address:
WOODBINE DEVELOPMENTAL CENTER
Provider Business Practice Location Address City Name:
WOODBINE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08270-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-861-6018
Provider Business Practice Location Address Fax Number:
609-861-5771
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MA02641300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 006049B1G . This is a "MEDICAREBILLING NO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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