DR. MICHAEL KEVIN CONNOLLY (NPI# 1689089005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689089005 |
Entity Type | Individual |
Full Name | DR. MICHAEL KEVIN CONNOLLY |
Credential | M.D. |
Practice Address |
100 Madison Ave Morristown NJ 07960-6136 |
Practice Telephone | 9739717926 |
Mailing Telephone | 9739717926 |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285125856 | Michael Gerard Connolly | Psychoanalyst | 214 W 97th St, New York, NY 10025-5620 | 2018-05-19 |
1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
1629163456 | Michael Joseph Connolly | Dentist | 393a River Rd, Fair Haven, NJ 07704-3029 | 2006-10-04 |
1669423554 | Michael G Connolly Jr. | Internal Medicine | 1022 1st Street North, Suite 401, Alabaster, AL 35007-8718 | 2006-05-15 |
1821058801 | Michael L. Connolly | Dentist | 6200 N Hiawatha Ave, Suite 650, Chicago, IL 60646-4309 | 2006-03-24 |
1518941665 | Michael J Connolly | Internal Medicine | 8826 E Tanque Verde Rd, Tucson, AZ 85749-9607 | 2005-12-02 |
1003303181 | Michael Connolly | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-1921 | 2018-04-16 |
1144737362 | Michael B Connolly | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2018-01-09 |
1861889909 | Michael John Connolly | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-04-15 |
1588933881 | Michael Peter Connolly | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2011-12-16 |
Street Address |
100 MADISON AVE |
City | MORRISTOWN |
State | NJ |
Zip Code | 07960-6136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932109493 | Marc Eliot Goldschmidt | Internal Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2005-07-27 |
1649885351 | Talha Iqbal | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-09-09 |
1972114361 | Atlantic Imaging Services LLC | Radiology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-08-11 |
1992322093 | Ruth Henriquez | Nurse Practitioner | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-07-06 |
1639796154 | Gianna Scaglione Pa-c LLC | Physician Assistant | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-30 |
1982220240 | Jordan Nelson | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-23 |
1669096707 | Stacie Tittamin | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-04 |
1851915235 | Maureen Younan | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-02 |
1972124493 | Simrat Kaur Veera | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-05-06 |
1003436734 | Anthony Rizzuti | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
Find all providers in zip 07960 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487280780 | Ambika Sharma | Student in an Organized Health Care Education/Training Program | 8 Applewood Ln, Morristown, NJ 07960-5984 | 2020-03-18 |
1770046047 | Blake Edward Bandeff | Student in an Organized Health Care Education/Training Program | 95 Mount Kemble Ave # 205, Morristown, NJ 07960-5155 | 2019-04-12 |
1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
1093120800 | Shivali Raav | Student in an Organized Health Care Education/Training Program | 111 Madison Ave Ste 305, Morristown, NJ 07960 | 2014-07-01 |
1912297854 | Allison Mautone | Student in an Organized Health Care Education/Training Program | 55 Alexandria Rd, Morristown, NJ 07960-3638 | 2011-04-12 |
1447456728 | Fritzgerald Estinfa | Student in an Organized Health Care Education/Training Program | 100 Madison Ave # 8, Emergency Medicine Department, Morristown, NJ 07960-6136 | 2007-06-25 |
1649885351 | Talha Iqbal | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-09-09 |
1245848480 | Rebecca Hope Gilley | Student in an Organized Health Care Education/Training Program | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-07-14 |
1982220240 | Jordan Nelson | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-23 |
1851915235 | Maureen Younan | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-02 |
Find all providers in MORRISTOWN |
City | MORRISTOWN |
Zip Code | 07960 |
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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.