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BROOKE O'CONNOR
NPI 1265097356
Physician Assistant in West Islip, NY

Active since May 05, 2019PECOS Enrolled
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: October 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2022, Dec 5, 2021, Oct 19, 2019 and 1 more (4 updates tracked since 2019).

About Brooke O'connor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE O'CONNOR (NPI 1265097356) is an individual physician assistant in West Islip, New York, licensed in New York (024275) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265097356
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE O'CONNOR
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address19 Valerie CtSayville, NY 11782-2035 · (203) 535-2076
Phone(631) 376-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 5, 2019
Last NPPES UpdateOctober 9, 20224 updates tracked since enumeration
NPPES CertifiedOctober 9, 2022
✔ NPI 1265097356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024275
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 MONTAUK HWY, West Islip, NY 11795
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Secondary Practice Locations 2

Location 1100 Port Washington BlvdRoslyn, NY 11576-1353 · Phone (516) 562-6000
Location 21149 Old Country RdRiverhead, NY 11901-2057 · Phone (631) 740-9625

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke O'connor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507292810
PECOS Enrollment IDI20200205001571
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke O'connor's NPI number?

The NPI number for Brooke O'connor is 1265097356. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Brooke O'connor located?

Brooke O'connor practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Brooke O'connor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke O'connor enrolled in Medicare?

Yes. Brooke O'connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke O'connor was last updated on October 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.