Dr. Patricia C. O'Brien, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00419800 Issued in NJ

Legal business name

DR. PATRICIA C. O'BRIEN, PC

Practice address

321 Yale Ave
A
Stratford, NJ 08084-1247

Phone

(856) 782-7500

Fax

(856) 782-0075

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patricia C O'Brien, D.C.NPI 1023047495

Title

President

Phone

(856) 782-7500

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia O'Brien, DC

  • Chiropractor
  • Stratford, NJ
  • NPI 1023047495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1053536094",
    "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": {
        "organization_name": "DR. PATRICIA C. O'BRIEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-782-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00419800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "0207600000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "103774",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "2632234",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "2364020",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "0151772000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "P11081097",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dr. Robert O'Brien
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• Edie, a Duque
• Kevin Thomas Dwyer, D.O.

• Chiropractor in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Chiropractor in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.