Individual provider Active NPI

Patrick T. Murphy, D.O.

  • Family Medicine Physician
  • Beacon, NY
National Provider Identifier
1255301784
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1821172 Issued in NY
Practice address
560 Route 52
Beacon, NY 12508-1208
Phone
(845) 838-2240
Fax
(845) 838-2167
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070120000055 NY Practitioner - General PracticePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3375544216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1821172NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care New York Medical PLLC CurrentSince Sep 25, 2020 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1821172 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

560 Route 52
Beacon, NY 12508-1208

Mailing address

560 Route 52
Beacon, NY 12508-1208
Phone (845) 838-2240

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
01454526MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2013.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1255301784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 ROUTE 52",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081208",
            "telephone_number": "845-838-2240",
            "fax_number": "845-838-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 ROUTE 52",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081208",
            "telephone_number": "845-838-2240",
            "fax_number": "845-838-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "PATRICK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1821172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01454526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.