Individual provider Active NPI

James Joseph O'Connor III, MD

  • Pulmonary Disease Physician
  • Somers Point, NJ
National Provider Identifier
1477654507
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA05851300 Issued in NJ
Practice address
18 W New York Avenue
Somers Point, NJ 08244-1872
Phone
(609) 926-1450
Fax
(609) 926-8419
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA05851300 NJ
Pulmonary Disease Physician 207RP1001X 25MA05851300 NJ Primary

Addresses

Primary practice location

18 W New York Avenue
Somers Point, NJ 08244-1872

Mailing address

18 W New York Avenue
Somers Point, NJ 08244-1872
Phone (609) 926-1450

Other identifiers 3

IdentifierTypeStateIssuer
567131000OtherNJAMERIHEALTH
496749OtherNJAETNA
3365409MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000066 NJ Practitioner - Pulmonary Disease 5890857551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Medical Ctr Way
Spec Care Somers Point
Somers Point, NJ 08244-2306
Phone (609) 365-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05851300NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Jun 15, 2015 Accepting new patients
Atlantic Shore Pul Assoc Critical Care Medicine Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 11, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Pulmonary Disease CurrentSince Feb 11, 2020 Accepting new patients
Shore Family Medicine Ass Past Accepting new patients

Locations

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

155 Medical Center Way
Spc Care
Somers Point, NJ 08244
Phone (609) 365-3100

18 W New York Ave
Somers Point, NJ 08244
Phone (609) 365-5300

155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 5

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 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1477654507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W NEW YORK AVENUE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441872",
            "telephone_number": "609-926-1450",
            "fax_number": "609-926-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W NEW YORK AVENUE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441872",
            "telephone_number": "609-926-1450",
            "fax_number": "609-926-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05851300",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05851300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "567131000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "496749",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3365409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.