O'Connor Medical PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

O'CONNOR MEDICAL PLLC

Practice address

9 Orchard St
Port Jervis, NY 12771

Phone

(609) 661-2946

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Brandon O'Connor, MDNPI 1467624494

Title

Provider

Phone

(609) 661-2946

Specialties & licenses 1

Addresses

Other names 1

• O'Connor Medical Urgent Care Other name

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Oconnor, M.D.

  • Family Medicine Physician
  • Port Jervis, NY
  • NPI 1467624494

  PA

  Medicare reassignment NPD Authorized official
• Richard Blazeski

  • Physician Assistant
  • Port Jervis, NY
  • NPI 1407684905
  NPD (past)
• Roselle Aguila Little, FNP-C

  • Family Nurse Practitioner
  • Port Jervis, NY
  • NPI 1679310015
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1992434294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127710312",
            "telephone_number": "845-672-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ORCHARD ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "12771",
            "telephone_number": "609-661-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'CONNOR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "609-661-2946",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Connor Medical Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kunwar Nagpal, D.D.S.
• Daniel Nam, MD, PHD
• Narrow Path Family Health NP PC
• Kenneth Newman, MD
• Nicholas S Katchen DDS PC
• Brandon Oconnor, M.D.
• Kaleigh B Olenick
• Catherine M Olmstead, RD
• Orange County Dept of Menttal Health
• Edward Orlando, MD

• Urgent Care Clinic/Center in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.