Individual provider Active NPI

David M O'Connor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rome, NY
National Provider Identifier
1598056509
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402459 Issued in NY
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

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729003788 NY Practitioner - Nurse Practitioner 0042564304 Reassigns benefits to 1 organization
Practice locations: New Hartford, NY

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.Group PAC ID 9638087273, shared by 4 NPIs, 56 clinicians

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

LicenseStateTypeSpecialty
562923NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Nov 1, 2020 Accepting new patients
MVHS Inc CurrentSince May 30, 2020 Accepting new patients
MVHS Inc CurrentSince May 30, 2020 Accepting new patients
David Oconnor Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 20, 2025 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

  • Direct secure messaging: doconnor2@hiemail.healtheconnections.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.