Andrew O'Neill, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00729600 Issued in NJ

Practice address

17 Hawthorne Ave
Park Ridge, NJ 07656-1212

Phone

(201) 505-8984

Fax

(201) 505-8986

NPI assigned

Nov 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimal Health Family Chiropractic, LLC

  • Chiropractor
  • Park Ridge, NJ
  • NPI 1982079232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1124492343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HAWTHORNE AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561212",
            "telephone_number": "201-505-8984",
            "fax_number": "201-505-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAWTHORNE AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561212",
            "telephone_number": "201-505-8984",
            "fax_number": "201-505-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-27",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00729600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "470469",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Mickelwaite, LSW
• Julissa Milkamp, LSW
• Melissa Morgan, OTR
• Tara Nelsen-Defalco
• New Concepts for Living
• Charles Wold Olsen Jr., D.M.D.
• Optimal Health Family Chiropractic, LLC
• Park Ridge Al Amop, LLC
• Park Ridge Board of Education
• Park Ridge Chiropractic

• Chiropractor in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.