Organization Active NPI

O'Brien & Thompson MD PC

  • Specialist
  • Saint James, NY
National Provider Identifier
1881716389
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
154766-1 Issued in NY
Legal business name
O'BRIEN & THOMPSON MD PC
Practice address
403 Lake Ave
Saint James, NY 11780-2205
Phone
(631) 862-7062
Fax
(631) 862-7114
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Ms. Suzette Nitzsche
Title
Office Manager
Phone
(631) 862-7062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 154766-1 NY Primary

Addresses

Primary practice location

403 Lake Ave
Saint James, NY 11780-2205

Mailing address

403 Lake Ave
Saint James, NY 11780-2205
Phone (631) 862-7062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1881716389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802205",
            "telephone_number": "631-862-7062",
            "fax_number": "631-862-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802205",
            "telephone_number": "631-862-7062",
            "fax_number": "631-862-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN & THOMPSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "NITZSCHE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-862-7062",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "154766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.