Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian McGillivray

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487195673

Ian McGillivray is an Emergency Medicine in Mineola, New York. Graduated from Hofstra North Shore - Lij School of Medicine in 2017, 9 years ago. Practices with Middlesex Hospital, a 229-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

23 Richlee CT 3S
Mineola, NY 11501-3647
Phone: (847) 494-2128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 303728 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487195673
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Middlesex Hospital — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mineola