Individual provider Active NPI

Caitlyn Elizabeth O'Brien, PA-C

  • Physician Assistant
  • Staten Island, NY
National Provider Identifier
1194515882
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1099 Targee St
Staten Island, NY 10304-4310
Phone
(718) 667-7500
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 NY Primary

Addresses

Primary practice location

1099 Targee St
Staten Island, NY 10304-4310

Mailing address

1099 Targee St
Staten Island, NY 10304-4310
Phone (718) 667-7500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916001915 NY Practitioner - Physician Assistant 0042714859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

1099 Targee St
Staten Island, NY 10304-4310
Phone (718) 448-3210

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Sep 7, 2025 Accepting new patients
True North Medical Group PC Physician Assistant CurrentSince Sep 7, 2025 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

101 Tyrellan Ave
Fl 3
Staten Island, NY 10309
Phone (919) 292-3601

3311 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-3111

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

3333 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-3333

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

1099 Targee St
Staten Island, NY 10304

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

4287 Richmond Ave
Staten Island, NY 10312
Phone (718) 226-2330

65 Columbus Ave
Lowr
Staten Island, NY 10304

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1194515882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044310",
            "telephone_number": "718-667-7500",
            "fax_number": "718-815-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044310",
            "telephone_number": "718-667-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.