Active NPI
Joseph A O'Donnell, RN NP
- Family Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 537578
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 448-5111
- NPI assigned
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 537578 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
8461 River Rd
Baldwinsville, NY 13027-9223
Phone (315) 350-1769
Other practice location 1
17875 Von Karman Ave Ste 150
Irvine, CA 92614-6212
Phone (310) 354-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Long Beach Rd
Island Park, NY 11558-2254
Phone (646) 296-1508
168 W Central St
Natick, MA 01760-4122
Phone (508) 655-1000
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 537578 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Basin Medical Health PC | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients |
Locations
257 State St
Batavia, NY 14020
Phone (585) 343-1300
1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724
1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300
48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212
Interoperability endpoints
- jodonnell2389115@direct.trinity-health.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1346006202
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Internal Medicine Physician
- Fall River, MA
- NPI 1629938790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1982965364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8461 RIVER RD",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279223",
"telephone_number": "315-350-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-5111"
}
],
"practiceLocations": [
{
"address_1": "17875 Von Karman Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926146212",
"country_code": "US",
"telephone_number": "310-354-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNELL",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RN NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "537578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.