CONNER STYLE DO
NPI 1699414821
Student in an Organized Health Care Education/Training Program in Far Rockaway, NY

Active since June 04, 2022PECOS Enrolled
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(718) 869-7000 Get Directions Write a Review

NPPES record last updated: June 4, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Conner Style Do NPPES

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

CONNER STYLE DO (NPI 1699414821) is an individual student in an organized health care education/training program in Far Rockaway, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1699414821
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNER STYLECredential: DO
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address4 Sunnyside CtMarlton, NJ 08053-4328 · (856) 357-4899
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateJune 4, 2022
NPPES CertifiedJune 4, 2022
✔ NPI 1699414821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
327 BEACH 19TH ST, Far Rockaway, NY 11691

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conner Style Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840759387
PECOS Enrollment IDI20260826000716
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.

Medicare Billing Reassignment

Medicare enrollment records show Conner Style reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
2000 N VILLAGE AVE, SUITE 402
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691

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 Conner Style's NPI number?

The NPI number for Conner Style is 1699414821. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Where is Conner Style located?

Conner Style practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (718) 869-7000.

What is Conner Style's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Conner Style enrolled in Medicare?

Yes. Conner Style is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Conner Style's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conner Style reassigns Medicare benefits to Ophthalmic Consultants Of Long Island (Rockville Centre, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conner Style's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Conner Style was last updated on June 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.