Individual provider Active NPI

Robert Joseph O'Leary Jr., D.P.M.

  • Foot Surgery Podiatrist
  • Weymouth, MA
National Provider Identifier
1801883806
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1843 Issued in MA
Practice address
536 Broad St
Suite 9
Weymouth, MA 02189-1362
Phone
(781) 335-2063
Fax
(781) 335-2097
NPI assigned
Oct 4, 2005
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1843 MA Primary

Addresses

Primary practice location

536 Broad St
Suite 9
Weymouth, MA 02189-1362

Mailing address

536 Broad St
Suite 9
Weymouth, MA 02189-1362
Phone (781) 335-2063

Other names 1

  • Dr. Robert Joseph O'Leary Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000534 MA Practitioner - Podiatry 3375564750 Reassigns benefits to 1 organization
Practice locations: Weymouth, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1843MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Hospital, Inc. CurrentSince Feb 25, 1987 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1801883806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 BROAD ST",
            "address_2": "SUITE 9",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891362",
            "telephone_number": "781-335-2063",
            "fax_number": "781-335-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 BROAD ST",
            "address_2": "SUITE 9",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891362",
            "telephone_number": "781-335-2063",
            "fax_number": "781-335-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "O'LEARY",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.