Active NPI
John Peter O'Brien, MD.
- Family Medicine Physician
- Cazenoviz, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 243461
- Practice address
- 132 1/2 Albany Street
Cazenoviz, NY 13035 - Phone
- (315) 655-8171
- Fax
- (315) 655-5923
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 243461 | NY | Primary |
| Obstetrics Physician | 207VX0000X | 243461 | NY |
Addresses
Primary practice location
132 1/2 Albany Street
Cazenoviz, NY 13035
Mailing address
5112 West Taft Road
Suite L
Liverpool, NY 13088
Phone (315) 452-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02889572 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071022000383 | NY | Practitioner - Family Practice | 6406942424 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of Ny Upstate Medical University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Josephs Medical PCSt Josephs Hospital Health Center
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
4101 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878
4103 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1500
4117 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1551
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
- HCR Home Care
- St Joseph'S Hospital Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243461 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Physician Health, P.C. | Family Medicine | Current | Accepting new patients |
| North Medical PC | Family Medicine | Current | Accepting new patients |
| St. Joseph'S Pathology, PC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St Josephs Medical PC | Family Medicine | Current | Accepting new patients |
| St Joseph'S Hospital Health Center | Family Medicine | Current | Accepting new patients |
| Verona Family Practice | Family Medicine | Past | Accepting new patients |
Locations
132 Albany St
Ste 12
Cazenovia, NY 13035
Phone (315) 655-3668
5112 W Taft Rd
Ste L
Liverpool, NY 13088
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Rm 1605
Syracuse, NY 13203
Interoperability endpoints
- jobrien2389977@direct.trinity-health.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
Family Medicine, NY
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
Family Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oneonta, NY
- NPI 1649575549
-
- Home Health Agency
- East Syracuse, NY
- NPI 1841585114
-
- Home Health Agency
- East Syracuse, NY
- NPI 1982978342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1013123579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 WEST TAFT ROAD",
"address_2": "SUITE L",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-452-2500",
"fax_number": "315-452-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 1/2 ALBANY STREET",
"city": "CAZENOVIZ",
"state": "NY",
"postal_code": "13035",
"telephone_number": "315-655-8171",
"fax_number": "315-655-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JOHN",
"middle_name": "PETER",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "243461",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "243461",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02889572",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cazenoviz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.