Dylan O'Rourke, R-PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008867 Issued in NY

Practice address

81 N Broadway
Hicksville, NY 11801-2920

Phone

(516) 933-4350

Fax

(516) 933-4352

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: dorourke66996@direct-chsli.net
• Direct secure messaging: dorourke308084@nyumc.direct-ci.com

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.

• New York Orthopaedic & Comprehensive Medical Services, PC

  • Orthopaedic Surgery Physician
  • Westbury, NY
  • NPI 1376811620
  Medicare reassignment
• Richard S. Obedian MD PLLC

  • Orthopaedic Surgery Physician
  • Hicksville, NY
  • NPI 1386886984
  Medicare reassignment

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1083606784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Northern Blvd",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215302",
            "country_code": "US",
            "telephone_number": "516-482-0302",
            "fax_number": "516-482-0158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "DYLAN",
        "credential": "R-PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008867",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Connor Chiropractic PC (Platinum Chiropractic)
• Kimberly Rosaline O'Connor, D.C.
• Patricia O'Donnell
• Bobby A O'Keefe
• Theresa O'Neill, LCSW
• Nadine Ann O'Sullivan
• Richard S Obedian, MD
• Bobbi Lynn Oconnor
• Joanna J Oda, M.D.
• Rosemarie Oddo, LMSW

• Physician Assistant in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.