Active NPI
Patrick F. O'Leary, M.D.
- Orthopaedic Surgery of the Spine Physician
- New York, NY
National Provider Identifier
1477640340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 113664
- Practice address
- 1015 Madison Ave
4TH FL
New York, NY 10021 - Phone
- (212) 249-8100
- Fax
- (212) 249-8144
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 113664 | NY | Primary |
Addresses
Primary practice location
1015 Madison Ave
4TH FL
New York, NY 10021
Mailing address
1015 Madison Ave
4TH FL
New York, NY 10021
Phone (212) 249-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113664 | Other | NY | WORKERS COMP |
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Apr 1, 2013 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113664 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDAJCA/Endpoint/HDAJCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1477640340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 MADISON AVE",
"address_2": "4TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-249-8100",
"fax_number": "212-249-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MADISON AVE",
"address_2": "4TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-249-8100",
"fax_number": "212-249-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "PATRICK",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "113664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "113664",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.