Individual provider Active NPI

Lawrence O'Connor, DC

  • Chiropractor
  • Westwood, NJ
National Provider Identifier
1780778993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00257900 Issued in NJ
Practice address
30 Harrington Ave
Westwood, NJ 07675-1822
Phone
(201) 664-6000
Fax
(201) 666-1380
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00257900 NJ Primary

Addresses

Primary practice location

30 Harrington Ave
Westwood, NJ 07675-1822

Mailing address

30 Harrington Ave
Westwood, NJ 07675-1822
Phone (201) 664-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000476 NJ Practitioner - Chiropractic 5395904908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1983
Medicare assignment
May accept Medicare assignment
Group practices
O'Connor Family Wellness Chiropractic LLCGroup PAC ID 7719146323, 2 clinicians

Practice addresses (Care Compare)

30 Harrington Ave
Westwood, NJ 07675-1822
Phone (201) 644-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
O'Connor Family Wellness Chiropractic LLC Chiropractor CurrentSince Jan 1, 1984 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780778993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRINGTON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751822",
            "telephone_number": "201-664-6000",
            "fax_number": "201-666-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRINGTON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751822",
            "telephone_number": "201-664-6000",
            "fax_number": "201-666-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "LAWRENCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00257900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.