John McConnell, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA37662 Issued in NJ

Legal business name

JOHN MCCONNELL, LLC

Practice address

425 Hamden CT
Wyckoff, NJ 07481-1211

Phone

(201) 891-6088

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

John McConnell, MD

Title

Owner

Phone

(201) 891-6088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1235309212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAMDEN CT",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811211",
            "telephone_number": "201-891-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAMDEN CT",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811211",
            "telephone_number": "201-891-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MCCONNELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-891-6088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA37662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.