Active NPI
Patrick T. Murphy, D.O.
- Family Medicine Physician
- Beacon, NY
National Provider Identifier
1255301784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1821172
- 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.
-
- General Practice Physician
- Tappan, NY
- NPI 1639649643
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070120000055 | NY | Practitioner - General Practice | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1821172 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care New York Medical PLLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1821172 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01454526 | Medicaid | NY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.