NPIMap

Individual provider Active NPI

Peter E O'Neill, MD

  • Dermatology Physician
  • Garden City, NY
National Provider Identifier
1073533634
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
173798 Issued in NY
Practice address
226 7TH St
Suite 103
Garden City, NY 11530-5723
Phone
(516) 739-1141
Fax
(516) 248-6435
NPI assigned
Jul 19, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 173798 NY Primary

Addresses

Primary practice location

226 7TH St
Suite 103
Garden City, NY 11530-5723

Mailing address

226 7TH St
Suite 103
Garden City, NY 11530-5723
Phone (516) 739-1141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address poneill251232@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000690 NY Practitioner - Dermatology 1951583798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

226 7TH St
Suite 103
Garden City, NY 11530-5723
Phone (516) 739-1141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions1349
Skin biopsy417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179798NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 30, 1999 Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 30, 1999 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

226 7th St
Ste 103
Garden City, NY 11530
Phone (516) 739-1141

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

975 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 918-1301

875 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 572-1400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: poneill251232@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1073533634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-739-1141",
            "fax_number": "516-248-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-739-1141",
            "fax_number": "516-248-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "173798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "poneill251232@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "226 7th St",
            "address_2": "suite 103",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115305723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.