Lynn O'Connor Physician P.C.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

LYNN O'CONNOR PHYSICIAN P.C.

Practice address

380 Park Ave
Huntington, NY 11743-2869

Phone

(631) 350-6277

Fax

(631) 350-2966

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Lynn M Oconnor, MDNPI 1689601767

Title

Owner

Phone

(631) 350-6277

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18893/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JJCJCD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn M O'Connor, M.D.

  • Colon & Rectal Surgery Physician
  • Huntington, NY
  • NPI 1689601767
  Medicare reassignment NPD Authorized official
• Liese Marie Leyrer, RN, BSN; AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Huntington, NY
  • NPI 1235782699
  Medicare reassignment NPD
• Christine Mammaro, NP

  • Adult Health Nurse Practitioner
  • Merrick, NY
  • NPI 1528630761
  Medicare reassignment
• Suja S Johnkutty, MD

  • Neurology Physician
  • Huntington Station, NY
  • NPI 1134227739
  NPD (past)
• Joseph Patane

  • Surgery Physician
  • Huntington, NY
  • NPI 1700824562
  NPD (past)

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1548735970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RUSHMORE ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464427",
            "telephone_number": "631-327-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432869",
            "telephone_number": "631-350-6277",
            "fax_number": "631-350-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N Village Ave Ste 407",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115701001",
            "country_code": "US",
            "telephone_number": "631-350-6277",
            "fax_number": "631-350-2966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN O'CONNOR PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-350-6277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lundgren
• Susan Lupia, LMT
• Stuart A. Lustberg, M.D.
• Dixie J. Luzi, PSY.D.
• Lynn Alkes Otr L P C
• Joseph Lynn, DO
• M. Shareef Neurology, PC
• M.Shareeff.Neurology,P.C.
• Leonard Tae Hoon Ma
• Richard A Mabanta, D.C.

• Colon & Rectal Surgery Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.