Individual provider Active NPI

Mikayla O'Brien, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1053116434
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
159 E 74TH St
New York, NY 10021-3235
Phone
(212) 737-3301
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

159 E 74TH St
New York, NY 10021-3235

Mailing address

PO Box 581
Point Lookout, NY 11569-0581
Phone (516) 761-2249

Other practice location 1

1600 Stewart Ave
Westbury, NY 11590-6696
Phone (516) 243-8506

Other practice location 2

2 Overhill Rd
Scarsdale, NY 10583-5323
Phone (914) 725-6970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312001956 NY Practitioner - Physician Assistant 1254852767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

2 Overhill Rd
Suite 310
Scarsdale, NY 10583-5316
Phone (914) 725-6970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033369NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Mar 10, 2025 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Mar 10, 2025 Accepting new patients

Locations

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

80 Maiden Ln
Rm 703
New York, NY 10038
Phone (212) 385-2400

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

2 Overhill Rd
Scarsdale, NY 10583
Phone (212) 506-0236

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

2 Overhill Rd
Ste 330
Scarsdale, NY 10583
Phone (914) 725-1800

1600 Stewart Ave
Ste 100
Westbury, NY 11590

1600 Stewart Ave
Westbury, NY 11590
Phone (516) 222-0793

Interoperability endpoints

  • Direct secure messaging: mikayla.o.brien.1@11998.direct.athenahealth.com
  • Direct secure messaging: mobrien316188@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1053116434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115690581",
            "telephone_number": "516-761-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "212-737-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115906696",
            "country_code": "US",
            "telephone_number": "516-243-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Overhill Rd",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105835323",
            "country_code": "US",
            "telephone_number": "914-725-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MIKAYLA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.