Cory O'Connell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00736100 Issued in NJ

Practice address

61 Crescent Ave Ste B
Waldwick, NJ 07463-1400

Phone

(201) 444-1988

Fax

(201) 444-8709

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oconnell Chiropractic LLCGroup PAC ID 9830516038, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oconnell Chiropractic LLC

  • Chiropractor
  • Waldwick, NJ
  • NPI 1447704408
  Medicare reassignment Care Compare group NPD Authorized official
• Keith J O'Connell D.C.

  • Chiropractor
  • Waldwick, NJ
  • NPI 1871921015
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1679089007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CRESCENT AVE STE B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631400",
            "telephone_number": "201-444-1988",
            "fax_number": "201-444-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CRESCENT AVE STE B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631400",
            "telephone_number": "201-444-1988",
            "fax_number": "201-444-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00736100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Navarro, RDN
• Nikki Milch Counseling LLC
• Kalliopi S Nissirios, M.D
• No Place Like Home, LLC
• Northwest Bergen Regional Health Commission
• Kyle O'Connell
• Oconnell Chiropractic LLC
• Keith Oconnell, D.C.
• Ronni Olaya, FNP-BC
• Christine Marie Olson, PHARMD

• Chiropractor in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.