Individual provider Active NPI

Susan C O'Connor, APRN

  • Adult Health Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1184688871
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN04547300 Issued in NJ
Practice address
340 W Hanover Ave
VA Morris Cboc
Morristown, NJ 07960-2777
Phone
(973) 539-9791
Fax
(973) 539-9242
NPI assigned
Apr 12, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN04547300 NJ Primary

Addresses

Primary practice location

340 W Hanover Ave
VA Morris Cboc
Morristown, NJ 07960-2777

Mailing address

7 Copperfield Way
Morristown, NJ 07960-4767
Phone (973) 538-9535

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1184688871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COPPERFIELD WAY",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604767",
            "telephone_number": "973-538-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W HANOVER AVE",
            "address_2": "VA MORRIS CBOC",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602777",
            "telephone_number": "973-539-9791",
            "fax_number": "973-539-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN04547300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.