Organization Active NPI

Oconnor NP in Family Health PLLC

  • Family Nurse Practitioner
  • South Salem, NY
National Provider Identifier
1114805728
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OCONNOR NP IN FAMILY HEALTH PLLC
Practice address
21 Beaver Pond Rd
South Salem, NY 10590-2026
Phone
(914) 775-9596
NPI assigned
Aug 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Marie Oconnor, NPNPI 1508601931
Title
Owner
Phone
(914) 775-9596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

21 Beaver Pond Rd
South Salem, NY 10590-2026

Mailing address

21 Beaver Pond Rd
South Salem, NY 10590-2026
Phone (914) 775-9596

Other practice location 1

1266 E Main St Ste 700
Stamford, CT 06902-3546
Phone (914) 775-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126002519 NY Part B Supplier - Clinic/Group Practice 5193217024 Receives reassigned benefits from 2 practitioners
Practice locations: South Salem, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1114805728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BEAVER POND RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902026",
            "telephone_number": "914-775-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BEAVER POND RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902026",
            "telephone_number": "914-775-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 E Main St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023546",
            "country_code": "US",
            "telephone_number": "914-775-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCONNOR NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-775-9596",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.