Individual provider Active NPI

James Alexander O'Shea, TEACHER

  • Nurse Practitioner
  • Melville, NY
National Provider Identifier
1124380308
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F405095-1 Issued in NY
Practice address
150 Broadhollow Rd Ste 360
Melville, NY 11747-4988
Phone
(631) 233-9490
Fax
(631) 233-9499
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 891809 NY
Nurse Practitioner 363L00000X F405095-1 NY Primary

Addresses

Primary practice location

150 Broadhollow Rd Ste 360
Melville, NY 11747-4988

Mailing address

150 Broadhollow Rd Ste 360
Melville, NY 11747-4988
Phone (631) 233-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 5, 2026 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
891809NYMDSpecialist
F405095-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priyadarshan Bajpayi, M.D. PC CurrentSince Mar 24, 2024 Accepting new patients

Locations

5550 Merrick Rd
Massapequa, NY 11758
Phone (631) 673-3233

175 Jericho Tpke
Ste 216
Syosset, NY 11791
Phone (516) 364-9800

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

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1124380308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 360",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474988",
            "telephone_number": "631-233-9499",
            "fax_number": "631-233-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 360",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474988",
            "telephone_number": "631-233-9490",
            "fax_number": "631-233-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "JAMES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "TEACHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "891809",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F405095-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.