Sandra Marie Connolly, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA05783400 Issued in NJ

Practice address

500 Park Ave
Manalapan, NJ 07726-8375

Phone

(732) 679-4500

Fax

(732) 679-4549

NPI assigned

Feb 2, 2007

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freehold Hospitalists, LLC

  • Hospitalist Physician
  • Freehold, NJ
  • NPI 1831231463
  Medicare reassignment NPD
• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313

  Family Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment NPD
• Stress Care Medical Group

  • Internal Medicine Physician
  • Manalapan, NJ
  • NPI 1386270890
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1023156825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WYNCREST RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461103",
            "telephone_number": "848-207-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268375",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA05783400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05783400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5147905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassion First Health
• Comprehensive Family Medical LLC
• Comprehensive Medical Assist P.C.
• William Conforti, O.D.
• Alexandra Conlon, BCBA
• Robert John Conti, D.M.D.
• Judy Conville Picinich, RPH
• Gina Corforte, LCADC
• Nicole Cornely
• Dylan James Corona, LMT, CPT, CES

• Family Medicine Physician in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.