Individual provider Active NPI

James P O'Brien, PA

  • Physician Assistant
  • Farmington, NY
National Provider Identifier
1184826018
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003182 Issued in NY
Practice address
1160 Corporate Dr
Farmington, NY 14425-9534
Phone
(585) 924-1510
NPI assigned
Jun 4, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003182 NY Primary

Addresses

Primary practice location

1160 Corporate Dr
Farmington, NY 14425-9534

Mailing address

191 Main St
Delhi, NY 13753-1040
Phone (718) 920-2961

Other practice location 1

MMC Dept of Medicine
111 E. 210th Street
Bronx, NY 10467
Phone (718) 920-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000569 NY Practitioner - Physician Assistant 0446399257 Reassigns benefits to 2 organizations
I20180404000579 TX Practitioner - Physician Assistant 0446399257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1113

3 Century Dr
Parsippany, NJ 07054-4610

350 Parrish St
Canandaigua, NY 14424-1731

PO Box
Suite 725
Cooperstown, NY 13326-0725

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003182NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 11, 2017 Accepting new patients
Cherokee Nation CurrentSince Feb 20, 2018 Accepting new patients
Cherokee Nation CurrentSince Feb 20, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 5, 2012 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 5, 2012 Accepting new patients
River Hospital, Inc. Past Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Associate Dr
Oneonta, NY 13820
Phone (607) 433-6300

130 North St
Walton, NY 13856
Phone (607) 865-6541

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Organizations & group practices 8

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184826018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137531040",
            "telephone_number": "718-920-2961",
            "fax_number": "718-920-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CORPORATE DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259534",
            "telephone_number": "585-924-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MMC Dept of Medicine",
            "address_2": "111 E. 210th Street",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "718-920-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NY

Sources for this page

Verify at the official NPI Registry.