Active NPI
Oconnor NP in Family Health PLLC
- Family Nurse Practitioner
- South Salem, NY
National Provider Identifier
1114805728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Oconnor, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- South Salem, NY
- NPI 1508601931
-
- Family Nurse Practitioner
- White Plains, NY
- NPI 1952951691
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.