Active NPI
John J. Connors, M.D.
- Psychiatry Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 180567-1
- Practice address
- 175 Humboldt Street
Suite 100
Rochester, NY 14610 - Phone
- (585) 546-1960
- Fax
- (585) 546-1963
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 180567 | NY | |
| Psychiatry Physician | 2084P0800X | 180567-1 | NY | Primary |
Addresses
Primary practice location
175 Humboldt Street
Suite 100
Rochester, NY 14610
Mailing address
175 Humboldt Street
Suite 100
Rochester, NY 14610
Phone (585) 546-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01726654 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 N Winton Rd
Rochester, NY 14610-1936
Phone (585) 410-3370
Hospital & facility affiliations
- Rochester General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180567 | NY | MD | Psychiatry Physician |
| 180567-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Resources Inc. | Current | Accepting new patients | |
| Liberty Resources, Inc. | Current | Accepting new patients | |
| Rochester Rehabilitation Center, Inc | Current | Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Past | Accepting new patients | |
| Regional Medical Practice, PC | Past | Accepting new patients |
Locations
1100 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-0680
1000 Elmwood Ave
Ste 600
Rochester, NY 14620
Phone (585) 471-0559
175 N Winton Rd
Rochester, NY 14610
Phone (585) 288-9230
1045 James St
Syracuse, NY 13203
Phone (315) 425-1004
Interoperability endpoints
- john.connors.p1@direct.liberty-resources.nextgenshare.com
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Syracuse, NY
- NPI 1225254881
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1306901913
-
- Federally Qualified Health Center (FQHC)
- Fulton, NY
- NPI 1700688827
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Orthopaedic Surgery Physician
- Cortland, NY
- NPI 1285749093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1831271865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 HUMBOLDT STREET",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14610",
"telephone_number": "585-546-1960",
"fax_number": "585-546-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HUMBOLDT STREET",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14610",
"telephone_number": "585-546-1960",
"fax_number": "585-546-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "JOHN",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180567",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180567-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01726654",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.