Keith Oconnell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00268600 Issued in NJ

Practice address

61 Crescent Ave
Ste B
Waldwick, NJ 07463-1400

Phone

(201) 444-1988

Fax

(201) 444-8709

NPI assigned

Jun 24, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1983

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

State licenses

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 and National Provider Directory roles.

• Oconnell Chiropractic LLC

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

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

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1699771667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CRESCENT AVE",
            "address_2": "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",
            "address_2": "STE B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631400",
            "telephone_number": "201-444-1988",
            "fax_number": "201-444-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00268600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5231400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "X4139110",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• No Place Like Home, LLC
• Northwest Bergen Regional Health Commission
• Cory O'Connell, DC
• Kyle O'Connell
• Oconnell Chiropractic LLC
• Ronni Olaya, FNP-BC
• Christine Marie Olson, PHARMD
• Michele Opper, PH.D.
• Chinyelu Oraegbunam, PHARMD
• Dylan Pachon

• 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 Jul 13, 2010; 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.