Physician Compare National (NPI:1104024538)

HEALTHCARE PROVIDER: JOHN MUNEY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104024538
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587735865
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080613000092
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUNEY
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GENERAL PRACTICE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PERIPHERAL VASCULAR DISEASE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	VASCULAR SURGERY
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE, GENERAL PRACTICE, PERIPHERAL VASCULAR DISEASE, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	535 8TH AVE
	Group Practice or individual's line 1 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100184305
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y