M. KEVIN O'CONNOR MD LLC (NPI# 1043476450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043476450 |
| Entity Type | Organization |
| Organization Name | M. KEVIN O'CONNOR MD LLC |
| Practice Address |
225 Millburn Ave Suite 210 Millburn NJ 07041-1737 |
| Practice Telephone | 9739120200 |
| Practice Fax Number | 9733768039 |
| Mailing Telephone | 9739120200 |
| Mailing Fax Number | 9733768039 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | MICHAEL KEVIN O'CONNOR (OWNER) |
| Authorized Official Telephone | 9739120200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
25MA07734100 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI # | 1033257431 | 01 |
| Street Address |
225 MILLBURN AVE SUITE 210 |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006352 | Paulo Bandeira Pinho | Internal Medicine | 225 Millburn Ave, Millburn, NJ 07041-1737 | 2005-07-10 |
| 1104275650 | Amy Block | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2016-06-06 |
| 1871872226 | Sammaret Behavioral Services PC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2011-08-16 |
| 1336474188 | Donald P. Peyser, M.d. P.a. | Internal Medicine | 225 Millburn Ave, Suite 104-a, Millburn, NJ 07041-1737 | 2009-10-13 |
| 1902046444 | Bella E Baum | Physician Assistant | 225 Millburn Ave, Suite 204, Millburn, NJ 07041-1737 | 2009-02-24 |
| 1841430428 | Wendy Bond L.c.s.w.,llc | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2009-02-23 |
| 1033366471 | Wendy Bond | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2008-08-27 |
| 1003062050 | Basil Michael Yurcisin II | Surgery | 225 Millburn Ave, Suite 204, Millburn, NJ 07041-1737 | 2008-08-11 |
| 1700063260 | Frieda L Max | Dentist | 225 Millburn Ave, 302b, Millburn, NJ 07041-1737 | 2008-01-28 |
| 1104008374 | Garden State Bariatrics & Wellness Center,llc | Clinic/Center | 225 Millburn Ave, Suite 204, Millburn, NJ 07041-1737 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1912487919 | Beth P Jassin | Clinic/Center | 68 Essex St, Millburn, NJ 07041 | 2018-08-19 |
| 1871872226 | Sammaret Behavioral Services PC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2011-08-16 |
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| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 1104385327 | Christian Davis, Phd, LLC | Clinic/Center | 179 Cedar Ln Ste C, Teaneck, NJ 07666-4304 | 2019-03-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.