Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connor Fitzpatrick, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780036467

Connor Fitzpatrick, MD is a Pediatric Medicine in Vestal, New York. Qualified in 2015, 11 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Ridgehaven Dr
Vestal, NY 13850-2640
Phone: (607) 798-6176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3 Cooper Plz, Camden, NJ 08103-1438 — (856) 342-2001
  • 303 Main St, Binghamton, NY 13905-2579 — (607) 798-6176

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2948191 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1780036467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address105 Ridgehaven Dr, Vestal, NY 13850-2640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vestal