Active NPI
Deniece O'Leary, PA-C
- Medical Physician Assistant
- Batavia, NY
National Provider Identifier
1104099233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 68.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17591 | CA | MD | Medical 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.
-
- Physical Medicine & Rehabilitation Physician
- Dix Hills, NY
- NPI 1063073971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.