Individual provider Active NPI

Patrick Oconnor, M.D.

  • Anesthesiology Physician
  • Marlton, NJ
National Provider Identifier
1770718710
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08564200 Issued in NJ
Practice address
90 Brick Road
Virtua West Jersey Hospital
Marlton, NJ 08053-2177
Phone
(856) 355-6000
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08564200 NJ Primary

Addresses

Primary practice location

90 Brick Road
Virtua West Jersey Hospital
Marlton, NJ 08053-2177

Mailing address

90 Brick Road
Virtua West Jersey Hospital
Marlton, NJ 08053-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090714000142 NJ Practitioner - Anesthesiology 1153473715 Reassigns benefits to 3 organizations
I20150115001130 PA Practitioner - Anesthesiology 1153473715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Society Hill Anesthesia Consultants of New Jersey, PCGroup PAC ID 9133150063, 18 clinicians
Society Hill Anesthesia Consultants PCGroup PAC ID 5991617292, 210 clinicians

Practice addresses (Care Compare)

408 Route 70 E
Wills Eye Surgery Center in Cherry
Cherry Hill, NJ 08034
Phone (856) 354-1600

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Society Hill Anesthesia Consultants of New Jersey, PC Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients
Society Hill Anesthesia Consultants, PC Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
West Jersey Anesthesia Associate PA Anesthesiology CurrentSince Mar 1, 2014 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-3000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1770718710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BRICK ROAD",
            "address_2": "VIRTUA WEST JERSEY HOSPITAL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRICK ROAD",
            "address_2": "VIRTUA WEST JERSEY HOSPITAL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532177",
            "telephone_number": "856-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08564200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.