John C McConnell, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MA37662 Issued in NJ

Practice address

4-14 Saddle River Rd
Fair Lawn, NJ 07410-5632

Phone

(201) 791-4002

Fax

(201) 791-7040

NPI assigned

Sep 26, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: john.mcconnell.1@24719.direct.athenahealth.com

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1154317063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "201-791-4002",
            "fax_number": "201-791-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "201-791-4002",
            "fax_number": "201-791-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "MA37662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MAI0439207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Mayo, BCBA
• Jennifer Patricia McAuley, LCSW
• Lucas John McCarren
• Joanne McCarthy, LPC, LMHC
• Elizabeth Jennifer McCollum
• Cheryl McCutchen, LSW, LCADC
• Megan Elizabeth McDermott, PT, DPT
• Chaye McIntosh, MS, LCADC
• William J McKeon, P.T., D.P.T.
• Cortney Tatiana McKinney

• Colon & Rectal Surgery Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Colon & Rectal Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.