Individual provider Active NPI

Marie Oconnor, NP

  • Family Nurse Practitioner
  • South Salem, NY
National Provider Identifier
1508601931
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354239-01 Issued in NY
Practice address
21 Beaver Pond Rd
South Salem, NY 10590-2026
Phone
(914) 775-9596
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F354239-01 NY Primary

Addresses

Primary practice location

21 Beaver Pond Rd
South Salem, NY 10590-2026

Mailing address

21 Beaver Pond Rd
South Salem, NY 10590-2026
Phone (914) 775-9596

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
I20240906001896 NY Practitioner - Nurse Practitioner 0648710590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians
Oconnor NP in Family Health PLLCGroup PAC ID 5193217024, 2 clinicians

Practice addresses (Care Compare)

1000 High St
Port Chester, NY 10573-4402
Phone (914) 937-1200

21 Beaver Pond Rd
South Salem, NY 10590-2026
Phone (914) 775-9596

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F354239-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oconnor NP in Family Health PLLC Family CurrentSince Aug 22, 2025 Accepting new patients
Progressive Care Medical Group, PLLC CurrentSince Aug 1, 2024 Accepting new patients
New York State Medical Health Services PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1000 High St
Port Chester, NY 10573
Phone (914) 597-2837

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

50 Main St
Ste 10000
White Plains, NY 10606

50 Main St
Ste 1000
White Plains, NY 10606
Phone (914) 216-7550

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1508601931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BEAVER POND RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902026",
            "telephone_number": "914-775-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BEAVER POND RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902026",
            "telephone_number": "914-775-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354239-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

Verify at the official NPI Registry.