Active NPI
Sean B Halligan, MD
- Family Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209013
- Practice address
- 145 Forest Ave
Staten Island, NY 10301-2715 - Phone
- (585) 469-4880
- Fax
- (585) 336-4845
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209013 | NY | Primary |
Addresses
Primary practice location
145 Forest Ave
Staten Island, NY 10301-2715
Mailing address
145 Forest Ave
Staten Island, NY 10301-2715
Phone (585) 469-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355266 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Georgetown University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2398 Broadway
New York, NY 10024-1703
Phone (212) 721-2111
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Family Medicine | Current | Accepting new patients |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
| Bridges Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Skilled Biologics, Inc. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Williamsburg Regional Hospital | Past | Accepting new patients | |
| Pee Dee Foot Center, PA | Past | Accepting new patients |
Locations
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
2398 Broadway
New York, NY 10024
Phone (212) 721-2111
214 W Houston St
New York, NY 10014
Phone (212) 337-9400
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Interoperability endpoints
- sean.halligan.1@2983.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- New York, NY
- NPI 1972038008
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1275054678
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Family Medicine
-
- Foot & Ankle Surgery Podiatrist
- Kingstree, SC
- NPI 1518048404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556928000000",
"number": "1306804190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012715",
"telephone_number": "585-469-4880",
"fax_number": "585-336-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012715",
"telephone_number": "585-469-4880",
"fax_number": "585-336-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIGAN",
"first_name": "SEAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2019-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "209013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.