Active NPI
James Mark Conneran, PH D
- Psychologist
- East Brunswick, NJ
National Provider Identifier
1164554564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100435600
- Practice address
- 220 Rues LN
East Brunswick, NJ 08816 - Phone
- (732) 257-7715
- Fax
- (732) 613-9757
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100435600 | NJ | Primary |
Addresses
Primary practice location
220 Rues LN
East Brunswick, NJ 08816
Mailing address
19 Maywood Dr
Marlboro, NJ 07746-1026
Phone (732) 536-3919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100435600 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1164554564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MAYWOOD DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461026",
"telephone_number": "732-536-3919",
"fax_number": "732-536-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RUES LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-257-7715",
"fax_number": "732-613-9757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNERAN",
"first_name": "JAMES",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100435600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
- Biagio Como, PHYSICIAN ASSISTANT
- Complete Foot and Ankle Specialty LLC
- Comprehensive Behavioral Health Center
- Comprehensive Rehabilitation and Pain Management, LLC
- Connect to Communicate LLC
- Consultant in Digestive and Liver Diseases
- Contemporary Plastic Surgery Associates
- Contemporary Plastic Surgery LLC
- Contemporary Plastic Surgi Center, LLC
- Kristy Conti
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.