Organization Active NPI

Robert W. O'Leary, M.D., P.C.

  • Anesthesiology Physician
  • East Patchogue, NY
National Provider Identifier
1275869315
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ROBERT W. O'LEARY, M.D., P.C.
Practice address
285 Sills Rd
Ste 9D
East Patchogue, NY 11772-4869
Phone
(631) 569-4114
Fax
(631) 569-4115
NPI assigned
Oct 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Robert W. O'Leary, M.D.
Title
Owner
Phone
(631) 569-4114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

285 Sills Rd
Ste 9D
East Patchogue, NY 11772-4869

Mailing address

11 Amy Dr
Sayville, NY 11782-3224
Phone (631) 569-4114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1275869315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AMY DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823224",
            "telephone_number": "631-569-4114",
            "fax_number": "631-569-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "STE 9D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-569-4114",
            "fax_number": "631-569-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. O'LEARY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-25",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-569-4114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.