Active NPI
Milton J Oconnell, RPA-C
- Physician Assistant
- Elka Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010238
- Practice address
- 2255 Platte Clove Rd
Elka Park, NY 12427-1014 - Phone
- (845) 658-7763
- NPI assigned
- Mar 4, 2006
- Last updated
- Feb 24, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02690857 | Medicaid | NY |
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
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010238 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Valley Medical & Dental, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Rifton, NY
- NPI 1295701787
-
- General Practice Dentistry
- Farmington, PA
- NPI 1447493457
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.