Active NPI
Jennifer M O'Keeffe
- Psychiatry Physician
- New York, NY
National Provider Identifier
1134485709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 275148
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029 - Phone
- (212) 241-8888
- NPI assigned
- Apr 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 275148 | NY | |
| Psychiatry Physician | 2084P0800X | 275148 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029
Mailing address
12 Dryden Way
Commack, NY 11725-1913
Other practice location 1
1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-8888
Other practice location 2
1130 Park Ave Ste 3
New York, NY 10128-1255
Phone (212) 729-6410
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: Yes
- Opted out of Medicare
- Yes, effective May 17, 2021 through May 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275148 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1134485709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 DRYDEN WAY",
"city": "COMMACK",
"state": "NY",
"postal_code": "117251913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-8888"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296500",
"country_code": "US",
"telephone_number": "212-241-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 Park Ave Ste 3",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101281255",
"country_code": "US",
"telephone_number": "212-729-6410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'KEEFFE",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-08",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "275148",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "275148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.