Individual provider Active NPI

Lauren O'Mara, PA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1417641424
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1345 6TH Ave
New York, NY 10105-0302
Phone
(212) 913-0828
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1345 6TH Ave
New York, NY 10105-0302

Mailing address

354 Lancaster CT
Piscataway, NJ 08854-6224
Phone (516) 376-8846

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000988 NY Practitioner - Physician Assistant 7719349984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 Delancey St
New York, NY 10002-3325
Phone (212) 609-2541

138 Fulton St
New York, NY 10038-2521
Phone (212) 271-4896

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

216 E 14TH St
New York, NY 10003-4105

2398 Broadway
New York, NY 10024-1703
Phone (212) 721-2111

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

561 3Rd Ave
New York, NY 10016-3109
Phone (212) 729-4668

654 Broadway
New York, NY 10012-2327
Phone (646) 647-1251

87 Chambers St
New York, NY 10007-1805
Phone (212) 335-0594

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Aug 7, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 7, 2023 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: lauren.o.mara.1@2983.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1417641424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 LANCASTER CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546224",
            "telephone_number": "516-376-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050302",
            "telephone_number": "212-913-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.