M. Kevin O'Connor MD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

25MA07734100 Issued in NJ

Legal business name

M. KEVIN O'CONNOR MD LLC

Practice address

225 Millburn Ave
Suite 210
Millburn, NJ 07041-1737

Phone

(973) 912-0200

Fax

(973) 376-8039

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Michael Kevin O'Connor, MD

Title

Owner

Phone

(973) 912-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1043476450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 210",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-912-0200",
            "fax_number": "973-376-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 210",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-912-0200",
            "fax_number": "973-376-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. KEVIN O'CONNOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-912-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "25MA07734100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1033257431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Lockenvitz, B.S., P.T.A
• Marc Francis Lombardy
• Charles A Lopez, L.P.C.
• Allison M Lorenzo, LPN
• Richard L Luciani, M.D.
• Jiatong Ma
• John D. Madigan, D.O.
• Haroldo Magarinos, ND
• Mahesh R. Desai, M.D., P.a.
• Carl N Malatesta, PT CHT

• Adult Mental Health Clinic/Center in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.