Individual provider · Type 1 NPI

John William McDonnell Jr., PA-C

Surgical Physician Assistant · Setauket, NY

NPI number 1669081865 Active

Practice location

14 Technology Dr
Setauket, NY 11733-3472

Other practice locations

  • 301 E Main St, Bay Shore, NY 11706-8408 · (631) 968-3000
  • 46 Clearview Ave, Selden, NY 11784-3522 · (570) 971-2546
  • 101 Nicolls Rd, Stony Brook, NY 11794-8408 · (631) 689-8333
  • 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 · (631) 689-6698

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X025301 (NY)
Medical Physician Assistant 363AM0700X025301 (NY)
Physician Assistant 363A00000X025301 (NY)

Surgical Physician Assistant: Definition to come...

36 other providers at this address

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About NPI 1669081865

John William McDonnell Jr., PA-C's National Provider Identifier is 1669081865, issued on Jul 24, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Setauket, NY. The record was last updated on Jun 3, 2026.