Jennifer H McConnell

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

13VH01296900 Issued in NJ

Practice address

3597 S Black Horse Pike
Williamstown, NJ 08094-7401

Phone

(856) 875-6233

Fax

(856) 875-4415

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1679226237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3597 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080947401",
            "telephone_number": "856-875-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080947401",
            "telephone_number": "856-875-6233",
            "fax_number": "856-875-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NJ",
            "license": "13VH01296900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxfield Maycock, DC
• Sidney Manfred Maycock Jr., DC
• Elizabeth Mary Mazzeo, MS, OTR/L
• Peninah Muthue Mbaluka
• Kathleen McCabe-Odri, ED.D., BCBA
• Kevin T. McConnell
• Timothy Michael McDaniels Jr., BCBA
• Rosemary Brennan McGonigle, APN
• Jennifer A McIlvaine
• Javeena McIntyre

• Home Modifications Contractor in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Home Modifications Contractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.