Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shaun Patrick O'Connell, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1912530916

Shaun Patrick O'Connell, PHYSICIANASSISTANT is a Physician Assistant in Holbrook, New York. Qualified in 2019, 7 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

134 Smith Ave
Holbrook, NY 11741-1147
Phone: (631) 605-9925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024709-01 (NY)

Record details

NPI number1912530916
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address134 Smith Ave, Holbrook, NY 11741-1147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holbrook