MR. BRIAN M. JOHN PA-C
NPI 1225170640
Physician Assistant - Surgical in New York, NY

Active since February 13, 2007PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brian M. John Pa-c NPPES

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

MR. BRIAN M. JOHN PA-C (NPI 1225170640) is an individual surgical provider in New York, New York, licensed in New York (010058) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225170640
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRIAN M. JOHNCredential: PA-C
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 13, 2007
Last NPPES UpdateDecember 9, 2019
NPI 1225170640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in NY · 010058 Licensed in NJ · 25MP00197700
1275 YORK AVE, New York, NY 10065

Other Identifiers 1

Medicaid03971088NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brian M. John Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294809448
PECOS Enrollment IDI20140909001198
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian John's NPI number?

The NPI number for Brian John is 1225170640. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Brian John located?

Brian John practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Brian John's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brian John enrolled in Medicare?

Yes. Brian John is registered in the Medicare PECOS enrollment system.

Is Brian John affiliated with any hospitals?

According to CMS data, Brian John is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Brian John was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.