Individual provider Active NPI

Deniece O'Leary, PA-C

  • Medical Physician Assistant
  • Batavia, NY
National Provider Identifier
1104099233
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17591 Issued in CA
Practice address
257 State St
Batavia, NY 14020-1044
Phone
(585) 343-1300
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17591 CA Primary

Addresses

Primary practice location

257 State St
Batavia, NY 14020-1044

Mailing address

150 Veterans Memorial Hwy Unit 141
Commack, NY 11725-6408
Phone (289) 400-4499

Other practice location 1

989 Blossom Rd
Rochester, NY 14610-2251
Phone (585) 482-3500

Other practice location 2

1205 Delaware Ave
Buffalo, NY 14209-1401
Phone (716) 885-3838

Other practice location 3

135 Meriden St
Rochester, NY 14612-2007
Phone (585) 663-0930

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
I20230320001475 NY Practitioner - Physician Assistant 2567836224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA17591CAMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1104099233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VETERANS MEMORIAL HWY UNIT 141",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256408",
            "telephone_number": "289-400-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 STATE ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201044",
            "telephone_number": "585-343-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "989 Blossom Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146102251",
            "country_code": "US",
            "telephone_number": "585-482-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091401",
            "country_code": "US",
            "telephone_number": "716-885-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Meriden St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146122007",
            "country_code": "US",
            "telephone_number": "585-663-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "DENIECE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.