Active NPI
David M O'Connor, NP
- Psychiatric/Mental Health Nurse Practitioner
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402459
- Practice address
- 264 W Dominick St
Rome, NY 13440-5812 - Phone
- (315) 334-4701
- Fax
- (315) 334-4267
- NPI assigned
- Apr 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 562923 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402459 | NY | Primary |
Addresses
Primary practice location
264 W Dominick St
Rome, NY 13440-5812
Mailing address
90 Kirkland Ave
Clinton, NY 13323-1436
Phone (315) 982-8673
Other practice location 1
1600 Burrstone Rd
Utica, NY 13502-4857
Phone (315) 792-3094
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of Ny Upstate Medical University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rome Memorial Hospital, Inc.
Practice addresses (Care Compare)
264 W Dominick St
Rome, NY 13440-5812
Phone (315) 334-4701
4685 Middle Settlement Rd
Suite 6
New Hartford, NY 13413-4938
Phone (315) 507-2299
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562923 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rome Memorial Hospital, Inc. | Current | Accepting new patients | |
| Rome Memorial Hospital, Inc. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| David Oconnor Nurse Practitioner in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
311 Arsenal St
Watertown, MA 02472
Phone (617) 924-5100
4685 Middle Settlement Rd
Ste 6
New Hartford, NY 13413
Phone (315) 507-2299
155 W Dominick St
Rome, NY 13440
Phone (315) 338-7057
1500 N James St
Rome, NY 13440
Phone (315) 338-7000
264 W Dominick St
Rome, NY 13440
Phone (315) 334-4701
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Interoperability endpoints
- doconnor2@hiemail.healtheconnections.org
- doconnornp@hiemail.healtheconnections.org
Organizations & group practices 5
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.
-
dba David O'Connor, Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- New Hartford, NY
- NPI 1194564476
-
- Psychiatric Hospital Unit
- Rome, NY
- NPI 1255315305
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Medical
- Internal Medicine Physician
- Rome, NY
- NPI 1700121894
Hospital
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
dba Regional Wound Care Center
- Clinic/Center
- Rome, NY
- NPI 1356689004
Hospital
-
dba Camden Family Care
- Primary Care Clinic/Center
- Camden, NY
- NPI 1891113965
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
dba Chestnut Commons
- Physical Therapy Clinic/Center
- Rome, NY
- NPI 1851489330
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1598056509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 KIRKLAND AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231436",
"telephone_number": "315-982-8673",
"fax_number": "315-334-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 W DOMINICK ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405812",
"telephone_number": "315-334-4701",
"fax_number": "315-334-4267"
}
],
"practiceLocations": [
{
"address_1": "1600 Burrstone Rd",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135024857",
"country_code": "US",
"telephone_number": "315-792-3094",
"fax_number": "315-792-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "DAVID",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "562923",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.