Individual provider Active NPI

Michael Patrick O'Connor, PA

  • Physician Assistant
  • Lawrenceville, NJ
National Provider Identifier
1295468049
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2999 Princeton Pike
Lawrenceville, NJ 08648-3261
Phone
(609) 403-8840
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2999 Princeton Pike
Lawrenceville, NJ 08648-3261

Mailing address

85 Canterbury CT
Piscataway, NJ 08854-6211
Phone (317) 918-1962

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002599 NJ Practitioner - Physician Assistant 2466837851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Princeton Eye and Ear LLCGroup PAC ID 4587802996, 9 clinicians

Practice addresses (Care Compare)

2999 Princeton Pike
Suite 2
Lawrenceville, NJ 08648-3261
Phone (609) 403-8840

3100 Princeton Pike
Suite J
Lawrenceville, NJ 08648-2300
Phone (609) 403-8840

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

901 W Main St
BLDG a
Freehold, NJ 07728-2537
Phone (609) 403-8840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: moconnor467135@direct.ahsys.org

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.

Hospital & facility affiliations 4

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1295468049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CANTERBURY CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546211",
            "telephone_number": "317-918-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483261",
            "telephone_number": "609-403-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.