Individual provider Active NPI

Lauren Anne O'Connell, PT, DPT

  • Orthopedic Physical Therapist
  • Kinnelon, NJ
National Provider Identifier
1154036473
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01907200 Issued in NJ
Practice address
300 Kakeout Rd
Kinnelon, NJ 07405-2548
Phone
(973) 838-6252
Fax
(973) 838-4159
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01907200 NJ Primary

Addresses

Primary practice location

300 Kakeout Rd
Kinnelon, NJ 07405-2548

Mailing address

300 Kakeout Rd
Kinnelon, NJ 07405-2548
Phone (973) 838-6252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@drmarston.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000063 NJ Practitioner - Physical Therapist in Private Practice 6608222450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

179 Cahill Cross Rd
West Milford, NJ 07480-1988
Phone (973) 728-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01907200NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Orthopedic CurrentSince Aug 22, 2024 Accepting new patients
Kayal Medical Group, LLC CurrentSince Jul 21, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

300 Kakeout Rd
Kinnelon, NJ 07405
Phone (973) 838-6252

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

179 Cahill Cross Rd
West Milford, NJ 07480
Phone (973) 728-5111

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

529 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 652-1010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1154036473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KAKEOUT RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052548",
            "telephone_number": "973-838-6252",
            "fax_number": "973-838-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KAKEOUT RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052548",
            "telephone_number": "973-838-6252",
            "fax_number": "973-838-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01907200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drmarston.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "300 Kakeout Rd",
            "city": "Kinnelon",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074052548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.