Individual provider Active NPI

John J. Connors, M.D.

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1831271865
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
180567-1 Issued in NY
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

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01726654MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000163 NY Practitioner - Psychiatry 7315831302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Resources IncGroup PAC ID 4486703352, 82 clinicians

Practice addresses (Care Compare)

175 N Winton Rd
Rochester, NY 14610-1936
Phone (585) 410-3370

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180567NYMDPsychiatry Physician
180567-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources Inc. CurrentSince Dec 5, 2014 Accepting new patients
Liberty Resources, Inc. CurrentSince Dec 5, 2014 Accepting new patients
Rochester Rehabilitation Center, Inc CurrentSince Aug 6, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.