Jennifer O'Connor

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009198-1 Issued in NY

Practice address

135 Grotke Rd
Chestnut Ridge, NY 10977-7202

Phone

(845) 422-0386

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1104363191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GROTKE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777202",
            "telephone_number": "845-422-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GROTKE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777202",
            "telephone_number": "845-422-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009198-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naresh C Mittal
• Kathleen Ann Monterola
• Robert B Mytelka
• Hayley Audra Nathanson, DC
• Robin Nemeroff, PH.D.
• Occupational Therapy Speech and LMSW PPLC
• Michael P Orlando, RPH.
• Yenneisa Ortiz
• Stephen F Oswald, DC
• Jason Paluck

• Occupational Therapy Assistant in Chestnut Ridge, NY
• Providers in Chestnut Ridge, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.