MEDICARE: DR. JOHN L VAUGHN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	292450	NY

General Provider Information

NPI Number	:	1649690884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN L VAUGHN M.D.

Provider Business Mailing Address
First Line	:	19 BRADHURST AVE STE 2575S
Second Line	:
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-2140
Country	:	US
Telephone Number	:	914-246-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 BRADHURST AVE STE 2575S
Second Line	:
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-2140
Country	:	US
Telephone Number	:	914-246-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2014
Last Update Date	:	04/06/2026

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