Individual provider Active NPI

Sean B Halligan, MD

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1306804190
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209013 Issued in NY
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

Updated by the provider on May 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00355266MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000602 NY Practitioner - Emergency MedicinePractitioner - General Surgery 3274568514 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

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 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 20, 2010 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine Current Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Aug 10, 2024 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Bridges Urgent Care PLLC Family Medicine CurrentSince Apr 13, 2017 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 14, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 14, 2013 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 20, 2010 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2007 Accepting new patients
Williamsburg Regional Hospital Past Accepting new patients
Pee Dee Foot Center, PA PastSince Jul 25, 1999 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.