Brendan O'Donovan, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MB11802200 Issued in NJ

Practice address

59 Veronica Ave
Somerset, NJ 08873-3579

Phone

(732) 873-6868

Fax

(732) 873-6869

NPI assigned

Apr 13, 2018

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Interventional Pain Management

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Medicine, LLCGroup PAC ID 4284879792, 6 clinicians

University Pain Medicine Center, LLCGroup PAC ID 5294812038, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAGJBD/Endpoint/FAGJBD

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.

• Advanced Physical Medicine, LLC

  • Physical Therapist
  • Freehold, NJ
  • NPI 1861736365
  Medicare reassignment Care Compare group NPD
• University Pain Medicine Center, LLC

  • Interventional Pain Medicine Physician
  • Somerset, NJ
  • NPI 1174707954
  Medicare reassignment Care Compare group NPD

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

• Eoh Acquisition Group, LLC

  dba CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1215424429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733579",
            "telephone_number": "732-873-6868",
            "fax_number": "732-873-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733579",
            "telephone_number": "732-873-6868",
            "fax_number": "732-873-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOVAN",
        "first_name": "BRENDAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB11802200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Nwanonyiri
• Blessing Rosemary Nwele, APN
• Valrie Clare O'Connor-Johnson, LPC
• Lynn Victoria O'Connor, LCSW
• Sara J O'Dell, LAT, ATC
• Oaks Integrated Care
• Primabel Gina Obias, M.D.
• Occupational Health Centers of New Jersey, P.a. (Concentra Medical Center)
• Azuka Ofodike
• John Okoye

• Interventional Pain Medicine Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.