Individual provider Active NPI

Carolyn Oh, MD

  • Obstetrics & Gynecology Physician
  • Rockville Centre, NY
National Provider Identifier
1174518690
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
217306 Issued in NY
Practice address
371 Merrick Rd
Suite 203
Rockville Centre, NY 11570-5359
Phone
(516) 766-7626
Fax
(516) 766-0744
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 217306 NY Primary

Addresses

Primary practice location

371 Merrick Rd
Suite 203
Rockville Centre, NY 11570-5359

Mailing address

371 Merrick Rd
Suite 203
Rockville Centre, NY 11570-5359
Phone (516) 766-7626

Other identifiers 1

IdentifierTypeStateIssuer
02107624MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000567 NY Practitioner - Obstetrics/Gynecology 8022904994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Nov 16, 2019 Accepting new patients

Locations

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

300 Community Dr
Plandome, NY 11030

371 Merrick Rd
Rockville Ctr, NY 11570
Phone (516) 764-4680

371 Merrick Rd
Ste 203
Rockville Ctr, NY 11570
Phone (516) 608-6807

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: coh417902@nyumc.direct-ci.com

Organizations & group practices 3

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1174518690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-766-7626",
            "fax_number": "516-766-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-766-7626",
            "fax_number": "516-766-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "217306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02107624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.