Organization Active NPI

Westchester Hyperbaric Medicine and Wound Care, PC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Sleepy Hollow, NY
National Provider Identifier
1255372017
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
176762 Issued in NY
Legal business name
WESTCHESTER HYPERBARIC MEDICINE AND WOUND CARE, PC
Practice address
777 N Broadway
Suite 310
Sleepy Hollow, NY 10591-1000
Phone
(914) 366-6665
Fax
(914) 333-0046
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Owen Joseph O'Neill, MDNPI 1447290119
Title
President
Phone
(914) 366-6665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 176762 NY
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X 176762 NY Primary

Addresses

Primary practice location

777 N Broadway
Suite 310
Sleepy Hollow, NY 10591-1000

Mailing address

777 North Broadway
Suite 310
Sleepy Hollow, NY 10591-1000
Phone (914) 366-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000731 NY Part B Supplier - Clinic/Group Practice 1052414356 Receives reassigned benefits from 1 practitioner
Practice locations: Sleepy Hollow, NY

National Provider Directory

National Provider Directory

Locations

777 N Broadway
Ste 310
Sleepy Hollow, NY 10591
Phone (914) 333-0034

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1255372017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTH BROADWAY",
            "address_2": "SUITE 310",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-366-6665",
            "fax_number": "914-333-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "SUITE 310",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-366-6665",
            "fax_number": "914-333-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER HYPERBARIC MEDICINE AND WOUND CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-366-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176762",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "176762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.