Individual provider Active NPI

Lynn M O'Connor, M.D.

  • Colon & Rectal Surgery Physician
  • Huntington, NY
National Provider Identifier
1689601767
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
240343 Issued in NY
Practice address
380 Park Ave
Huntington, NY 11743-2869
Phone
(631) 350-6277
Fax
(631) 350-2966
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 056159 GA
Colon & Rectal Surgery Physician 208C00000X 240343 NY Primary

Addresses

Primary practice location

380 Park Ave
Huntington, NY 11743-2869

Mailing address

51 Rushmore St
Huntington Station, NY 11746-4427
Phone (631) 350-6277

Other practice location 1

2000 N Village Ave Ste 407
Rockville Centre, NY 11570-1001
Phone (631) 350-6277

Other names 1

  • Lynn M O'Connor Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061207000411 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4284678194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

380 Park Ave
Huntington, NY 11743-2869
Phone (631) 350-6277

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056159GAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn O'Connor Physician P.C. Colon & Rectal Surgery CurrentSince Oct 1, 2018 Accepting new patients

Locations

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

2000 N Village Ave
Ste 407
Rockville Ctr, NY 11570
Phone (516) 678-5330

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

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

Organizations & group practices 1

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 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1689601767",
    "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": "631-350-6277",
            "fax_number": "631-350-2966"
        },
        {
            "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": {
        "last_name": "O'CONNOR",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "056159",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "240343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "O'CONNOR",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.