Krista O'Leary

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

290 S Wellwood Ave
Lindenhurst, NY 11757-4903

Phone

(631) 225-2999

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Hofstra North Shore - Lij School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumaiyah Medical PCGroup PAC ID 2567630213, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sumaiyah Medical PC

  dba Melville Medical Care

  • Urgent Care Clinic/Center
  • Huntington Station, NY
  • NPI 1508151820
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1922759836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574903",
            "telephone_number": "631-225-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574903",
            "telephone_number": "631-225-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheem James Northington
• Sandra Lee Novotny
• Mirja Carmine Arellano Nunez
• Stephanie Nwosu, LPN
• Julie O'Connor, LCSW
• Rebecca T. Obedian, MD
• Cara Ogilvie, M.A.,SLP-CCC
• Karin J. Ohlig, MD
• Ola Kala Healing Arts Corp
• Olive Tree Counseling LCSW PC

• Physician Assistant in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.

Verify at the official NPI Registry.