Active NPI
Susan Anne O'Malley, MD
- Emergency Medicine Physician
- Patchogue, NY
National Provider Identifier
1376588293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 228389
- Practice address
- 101 Hospital Rd
Medical Center
Patchogue, NY 11772-4870 - Phone
- (631) 687-2953
- Fax
- (610) 617-6280
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 228389 | NY | Primary |
Addresses
Primary practice location
101 Hospital Rd
Medical Center
Patchogue, NY 11772-4870
Mailing address
101 Hospital Rd
Brookhaven Memorial Hospital ER
Patchogue, NY 11772-4870
Phone (631) 654-7236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228389 | NY | MD | Emergency Medicine Physician |
| 182320 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Albany County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Suffolk County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Patchogue, NY
- NPI 1639121825
Emergency Medicine
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1073552055
Emergency Medicine
-
- Emergency Medicine Physician
- East Patchogue, NY
- NPI 1669783924
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1376588293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"address_2": "BROOKHAVEN MEMORIAL HOSPITAL ER",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "631-654-7236",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"address_2": "MEDICAL CENTER",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "631-687-2953",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "SUSAN",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "228389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.