Individual provider Active NPI

John James Oconnor, PSYD

  • Psychologist
  • New Egypt, NJ
National Provider Identifier
1285742668
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00437800 Issued in NJ
Practice address
33 Main St
New Egypt, NJ 08533-1415
Phone
(609) 758-1237
Fax
(609) 758-7255
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00437800 NJ Primary

Addresses

Primary practice location

33 Main St
New Egypt, NJ 08533-1415

Mailing address

54 Main St
P.O. Box 236
New Egypt, NJ 08533-1413
Phone (609) 758-1237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000274 NJ Practitioner - Clinical Psychologist 1951377407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John O'Connor, Psy.D., LLC. Psychologist CurrentSince Jan 30, 2007 Accepting new patients
Aa Psychology PLLC Psychologist Past Accepting new patients

Locations

33 Main St
New Egypt, NJ 08533
Phone (609) 758-1237

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1285742668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "address_2": "P.O. BOX 236",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331413",
            "telephone_number": "609-758-1237",
            "fax_number": "609-758-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN ST",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331415",
            "telephone_number": "609-758-1237",
            "fax_number": "609-758-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00437800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Egypt, NJ

Sources for this page

Verify at the official NPI Registry.