Individual provider Active NPI

Siobhan Connors, FNP

  • Family Nurse Practitioner
  • Scotch Plains, NJ
National Provider Identifier
1215339304
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01035500 Issued in NJ
Practice address
1900 Raritan Rd
Scotch Plains, NJ 07076-2963
Phone
(908) 889-7780
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338926-1 NY
Family Nurse Practitioner 363LF0000X 26NJ01035500 NJ Primary

Addresses

Primary practice location

1900 Raritan Rd
Scotch Plains, NJ 07076-2963

Mailing address

126 Tudor Oval
Westfield, NJ 07090-2245
Phone (845) 642-1575

Other practice location 1

100 E 77th St
8 Wollman Lenox Hill Hospital
New York, NY 10065
Phone (845) 642-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200508001655 NY Practitioner - Nurse Practitioner 0143651034 Reassigns benefits to 1 organization
I20230302000119 NJ Practitioner - Nurse Practitioner 0143651034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Hope Hospice IncGroup PAC ID 8426010802, 7 clinicians

Practice addresses (Care Compare)

1900 Raritan Rd
Scotch Plains, NJ 07076-2963
Phone (908) 288-9138

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338926-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hope Hospice, Inc CurrentSince Feb 7, 2023 Accepting new patients
Center for Hope Hospice, Inc CurrentSince Feb 7, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1900 Raritan Rd
Scotch Plains, NJ 07076
Phone (908) 288-9138

100 E 77th St
#8
New York, NY 10075
Phone (212) 434-2150

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: sconnors515143@direct.ahsys.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1215339304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TUDOR OVAL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902245",
            "telephone_number": "845-642-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RARITAN RD",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762963",
            "telephone_number": "908-889-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St",
            "address_2": "8 Wollman Lenox Hill Hospital",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "845-642-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "SIOBHAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338926-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01035500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.