Jaime Marie Connors, D.O

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB09853900 Issued in NJ

Practice address

55 N Gilbert St
Tinton Falls, NJ 07701-4955

Phone

(732) 842-6677

NPI assigned

Sep 24, 2012

Last updated

May 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Jersey Shore Navesink Pediatrics

  • Pediatrics Physician
  • Red Bank, NJ
  • NPI 1497710578
  NPD (past)

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1467703983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-842-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-842-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "JAIME",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "281034-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB09853900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon D Collins, LCSW
• Comprehensive Psychology System PC (Lifespan)
• Rosario Conde, ANP
• Shaw B Condiotte, M.D.
• Julia Kate Connolly
• Ericka Conshue
• Kathy A Cooper, RN
• Patrick Norris Correa, DO
• Jorge Francisco Corzo, M.D.
• Christine Costa, LCSW

• Pediatrics Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.