Individual provider Active NPI

Claire Babcock O'Connell, PA-C

  • Physician Assistant
  • Neshanic Station, NJ
National Provider Identifier
1841415593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00002800 Issued in NJ
Practice address
Pleasant Run Family Physicians
925 US Route 202
Neshanic Station, NJ 08853
Phone
(908) 788-9468
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Physician Assistant 363A00000X 25MP00002800 NJ Primary

Addresses

Primary practice location

Pleasant Run Family Physicians
925 US Route 202
Neshanic Station, NJ 08853

Mailing address

18 Burnham PL
Flanders, NJ 07836-9517
Phone (972) 927-1972

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MP00002800NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: claire.o.connell.1@31891.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841415593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BURNHAM PL",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369517",
            "telephone_number": "972-927-1972",
            "fax_number": "732-235-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLEASANT RUN FAMILY PHYSICIANS",
            "address_2": "925 US ROUTE 202",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "08853",
            "telephone_number": "908-788-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CLAIRE",
        "middle_name": "BABCOCK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neshanic Station, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.