O'Malley Chiropractic Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CT000731 Issued in CT

Legal business name

O'MALLEY CHIROPRACTIC HEALTH CENTER, LLC

Practice address

78 Beaver Road
Suite 2a
Wethersfield, CT 06109

Phone

(860) 257-9400

Fax

(860) 257-7169

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Mark E. O'Malley, D.C.NPI 1184736043

Title

Chiropractor/Owner

Phone

(860) 257-9400

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• O'Malley Chiropractic Health Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E O'Malley, D.C.

  • Chiropractor
  • Wethersfield, CT
  • NPI 1184736043
  Medicare reassignment NPD Authorized official
• Aida Koni, APRN FNP

  • Family Nurse Practitioner
  • Rocky Hill, CT
  • NPI 1659825974
  NPD
• Josephine Contrino, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1548209455
  NPD
• Joan Biskup, PA-C

  • Medical Physician Assistant
  • Hartford, CT
  • NPI 1083719579
  NPD (past)
• Ali O Erol, M.D.

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1639118565
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1366744922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BEAVER ROAD",
            "address_2": "SUITE 2A",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-257-9400",
            "fax_number": "860-257-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BEAVER ROAD",
            "address_2": "SUITE 2A",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-257-9400",
            "fax_number": "860-257-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'MALLEY CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "860-257-9400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT000731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "519710",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "050000731CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "682637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Malley Chiropractic Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jude Jr. Nwaogu
• Felicia R Nyser, LCSW
• Martha Burke O'Brien, APRN
• Timothy John O'Brien, M.D.
• Shannon Marie O'Loughlin
• Mark E O'Malley, D.C.
• Shannon O'Rourke, AUD
• Terenia Obeng
• Gina Odenwaelder
• Emily Oler, MOTR/L

• Chiropractor in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.