Active NPI
Meghan O'Neill, PA-C
- Medical Physician Assistant
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 018121-1
- Practice address
- 101 Nicolls Rd
HSC- L4, RM 050
Stony Brook, NY 11794-8350 - Phone
- (631) 444-2478
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 018121-1 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd
HSC- L4, RM 050
Stony Brook, NY 11794-8350
Mailing address
50 Pine St
Blue Point, NY 11715-1118
Phone (631) 697-6956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04158389 | Medicaid | NY |
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 Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2079 Smith Haven PLZ
Lake Grove, NY 11755-1209
Phone (631) 315-6758
377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061
434 Union Blvd
West Islip, NY 11795-3104
Phone (516) 537-9063
5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945
527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427
603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018121-1 | NY | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients |
Locations
101 Nicolls Rd
Rm 50
Stony Brook, NY 11794
Phone (631) 444-2465
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- meghan.oneill@direct.stonybrookmedicine.edu
- meghan.oneill@ghuc.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- Emergency Medicine Physician
- West Islip, NY
- NPI 1104978014
-
- Emergency Medicine Physician
- Stony Brook, NY
- NPI 1265487672
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1154725497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 PINE ST",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151118",
"telephone_number": "631-697-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"address_2": "HSC- L4, RM 050",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948350",
"telephone_number": "631-444-2478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "MEGHAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2023-02-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "018121-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04158389",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.