Active NPI
Patricia O'Brien, DC
- Chiropractor
- Stratford, NJ
National Provider Identifier
1023047495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00419800
- Practice address
- 321 Yale Ave
A
Stratford, NJ 08084-1247 - Phone
- (856) 782-7500
- Fax
- (856) 782-0075
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00419800 | NJ | Primary |
Addresses
Primary practice location
321 Yale Ave
A
Stratford, NJ 08084-1247
Mailing address
321 Yale Ave
A
Stratford, NJ 08084-1247
Phone (856) 782-7500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037744 | Other | NJ | AMERICAN SPECALTY PIN |
| 2364020 | Other | NJ | AETNA HMO |
| 0151772000 | Other | NJ | AH, KEYSTN, PC GRP PIN |
| 0207600000 | Other | NJ | AH, KEYSTN, PC INDIVD PIN |
| 2632234 | Other | NJ | OXFORD PIN |
| 11081097 | Other | NJ | CIGNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 Yale Ave
Suite a
Stratford, NJ 08084-1247
Phone (856) 782-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00419800 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Patricia C. O'Brien, PC | Chiropractor | Current | Accepting new patients |
| Stratford Center for Spinal Health, LLC | Chiropractor | Current | Accepting new patients |
| Dr. Robert O'Brien | Chiropractor | Past | Accepting new patients |
Locations
215 E Laurel Rd
Ste 203
Stratford, NJ 08084
Phone (609) 782-7500
321 Yale Ave
Ste A
Stratford, NJ 08084
Phone (856) 782-7500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Stratford, NJ
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1023047495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 YALE AVE",
"address_2": "A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841247",
"telephone_number": "856-782-7500",
"fax_number": "856-782-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 YALE AVE",
"address_2": "A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841247",
"telephone_number": "856-782-7500",
"fax_number": "856-782-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "PATRICIA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00419800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECALTY PIN",
"identifier": "1037744",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2364020",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH, KEYSTN, PC GRP PIN",
"identifier": "0151772000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH, KEYSTN, PC INDIVD PIN",
"identifier": "0207600000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "2632234",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "11081097",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.