Althea Marina O'Shaughnessy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05433000 Issued in NJ

Practice address

425 Fifth Ave
3Rd FL
New York, NY 10016

Phone

(646) 792-7476

Fax

(646) 274-0600

NPI assigned

Oct 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Conceptions Reproductive Associates

  • Specialist
  • Littleton, CO
  • NPI 1417178112
  NPD (past)
• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1427045327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 S. RAINBOW BLVD",
            "address_2": "STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181840",
            "telephone_number": "702-794-0073",
            "fax_number": "702-794-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FIFTH AVE",
            "address_2": "3RD FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-792-7476",
            "fax_number": "646-274-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHAUGHNESSY",
        "first_name": "ALTHEA",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05433000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann O'Rourke, AGPCNP-BC
• Monica Charlotte O'Rourke, AUD
• Rachel Jane O'Rourke, MS, PA-C
• Sarah O'Rourke, DNP, APRN, AGPCNP-BC
• Tara C O'Rourke
• Jane O'Shaughnessy, M.D.
• John Joseph O'Shaughnessy, PT, DPT
• Sinead O'Shaughnessy, M.D
• Debra O'Shea, PSYD
• Delia O'Shea, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.