Office Based Medical PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

189533 Issued in NY

Legal business name

OFFICE BASED MEDICAL PC

Practice address

67 Rockywood Rd
Manhasset, NY 11030-2512

Phone

(718) 416-4389

Fax

(718) 416-3652

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Leticia Cotto

Title

Billing Manager

Phone

(718) 416-4389

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1295901361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ROCKYWOOD RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302512",
            "telephone_number": "718-416-4389",
            "fax_number": "718-416-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ROCKYWOOD RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302512",
            "telephone_number": "718-416-4389",
            "fax_number": "718-416-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE BASED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "COTTO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-416-4389",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "189533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01599522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Obrien, FNP
• Elaine Yves Juline Occil, MD
• Michael P Oconnor, PT
• Claire Odenthal, NP
• Patrick Oertel, DNP, CRNA, RN
• Sheena M Ogando, M.D.
• Olivia Ogba
• Stephanie Cynthia Ogir, MD
• Anita Oh, PT, DPT
• Ji Eun Oh

• Anesthesiology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.