Active NPI
Kathleen Oconnor, MD
- Dermatology Physician
- Bronx, NY
National Provider Identifier
1790746865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 100017
- Practice address
- 1578 Williamsbridge Rd
Bronx, NY 10461 - Phone
- (718) 518-8888
- Fax
- (718) 518-8616
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 100017 | NY | Primary |
Addresses
Primary practice location
1578 Williamsbridge Rd
Bronx, NY 10461
Mailing address
1578 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 518-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100017 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1790746865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-518-8888",
"fax_number": "718-518-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-518-8888",
"fax_number": "718-518-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "100017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.