DR. JOHN W MCIVOR M.D.
NPI 1184607426
Radiology - Diagnostic Radiology in Bay Shore, NY

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since November 21, 2005

301 E MAIN ST, BAY SHORE, NY 11706(952) 595-1100(952) 942-3361 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. John W Mcivor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN W MCIVOR M.D. (NPI 1184607426) is an individual diagnostic radiology provider in Bay Shore, New York, licensed in New York (093421) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1184607426

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. JOHN W MCIVORCredential: M.D.

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address11995 Singletree Ln, Ste 500Eden Prairie, MN 55344-5347 · (952) 595-1100 · Fax (952) 942-3361

Phone(952) 595-1100

Fax(952) 942-3361

Sole ProprietorNo

Enumeration DateNovember 21, 2005

Last NPPES UpdateJanuary 19, 2011

✔ NPI 1184607426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 093421

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

301 E MAIN ST, Bay Shore, NY 11706

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Other Identifiers 4

Medicare ID-Type Unspecified0560AGNY · Medicare Ghi

Medicaid00387279NY

Medicare UPINB79172

Medicare ID-Type Unspecified723713NY · Medicare Empire

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PATRICK SHASHATY RPA

Physician Assistant (Surgical)