Individual provider Active NPI

Nicholas Patrick O'Connor, MD

  • Student in an Organized Health Care Education/Training Program
  • Jefferson, LA
National Provider Identifier
1164225173
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1401 Jefferson Highway
Academic Center, 1St Floor
Jefferson, LA 70121
Phone
(504) 842-3260
Fax
(504) 842-3192
NPI assigned
Mar 27, 2025
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

1401 Jefferson Highway
Academic Center, 1St Floor
Jefferson, LA 70121

Mailing address

525 Joseph St
New Orleans, LA 70115-2039
Phone (318) 525-2490

Other names 1

  • Dr. Nicholas Patrick Oconnor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001408 LA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 5799299087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1164225173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JOSEPH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152039",
            "telephone_number": "318-525-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JEFFERSON HIGHWAY",
            "address_2": "ACADEMIC CENTER, 1ST FLOOR",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3260",
            "fax_number": "504-842-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "NICHOLAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "OCONNOR",
            "middle_name": "PATRICK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.