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

John William McDonnell Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1669081865

John William McDonnell Jr., PA-C is a Physician Assistant in Setauket, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

14 Technology Dr
Setauket, NY 11733-3472
Phone: (631) 444-4233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 025301 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 025301 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 025301 (NY)

Record details

NPI number1669081865
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Setauket