Individual provider Active NPI

Milton J Oconnell, RPA-C

  • Physician Assistant
  • Elka Park, NY
National Provider Identifier
1851368138
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010238 Issued in NY
Practice address
2255 Platte Clove Rd
Elka Park, NY 12427-1014
Phone
(845) 658-7763
NPI assigned
Mar 4, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010238 NY Primary
Medical Physician Assistant 363AM0700X MA053471 PA

Addresses

Primary practice location

2255 Platte Clove Rd
Elka Park, NY 12427-1014

Mailing address

2255 Platte Clove Road
Esopus Medical, PC
Elka Park, NY 12427
Phone (518) 589-6178

Other identifiers 1

IdentifierTypeStateIssuer
02690857MedicaidNY

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
I20050617000923 NY Practitioner - Physician Assistant 3870537061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Esopus Medical, PCGroup PAC ID 1254304074, 13 clinicians

Practice addresses (Care Compare)

10 Hellbrook Lane
Ulster Park, NY 12487-5209

10 Hellbrook LN
Ulster Park, NY 12487-5209
Phone (845) 658-7763

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010238NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Valley Medical & Dental, PC PastSince Jan 21, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: milton.oconnell@931273876307972.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1851368138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 PLATTE CLOVE ROAD",
            "address_2": "ESOPUS MEDICAL, PC",
            "city": "ELKA PARK",
            "state": "NY",
            "postal_code": "12427",
            "telephone_number": "518-589-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 PLATTE CLOVE RD",
            "city": "ELKA PARK",
            "state": "NY",
            "postal_code": "124271014",
            "telephone_number": "845-658-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "MILTON",
        "middle_name": "J",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010238",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elka Park, NY

Sources for this page

Verify at the official NPI Registry.