NPIMap

Individual provider Active NPI

Carolyn Beth O'Connor, MD

  • Internal Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1457419491
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD463445 Issued in PA
Practice address
794 Penllyn Blue Bell Pike Ste 218
Blue Bell, PA 19422-1669
Phone
(267) 405-3330
NPI assigned
Dec 4, 2006
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD463445 PA Primary
Internal Medicine Physician 207R00000X D62445 MD

Addresses

Primary practice location

794 Penllyn Blue Bell Pike Ste 218
Blue Bell, PA 19422-1669

Mailing address

401 Route 73 N BLDG 10, Suite 320
Marlton, NJ 08053
Phone (267) 405-3330

Other identifiers 1

IdentifierTypeStateIssuer
412064700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529000065 PA Practitioner - Internal Medicine 5496701658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1100 Horizon Cir
Chalfont, PA 18914-3971
Phone (215) 394-0400

794 Penllyn Blue Bell Pike
Suite 218
Blue Bell, PA 19422-1669
Phone (267) 405-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D62445MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Clinic Company, LLC Internal Medicine CurrentSince Apr 17, 2018 Accepting new patients
Clinical Care Associates of the University of CurrentSince Nov 2, 2021 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Nov 2, 2021 Accepting new patients
Advocare, LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Apr 17, 2018 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Effingham Hospital, Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

794 Penllyn Blue Bell Pike
Ste 218
Blue Bell, PA 19422
Phone (267) 405-3330

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: carolyn.oconnor@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1457419491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10, SUITE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "267-405-3330",
            "fax_number": "856-762-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 PENLLYN BLUE BELL PIKE STE 218",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221669",
            "telephone_number": "267-405-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CAROLYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD463445",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D62445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412064700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.