Keith J O'Connell D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00268600 Issued in NJ

Legal business name

KEITH J O'CONNELL D.C.

Practice address

61 Crescent Ave
Suite B
Waldwick, NJ 07463-1431

Phone

(201) 444-1988

Fax

(201) 444-8709

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith J O'Connell, D.C.NPI 1699771667

Title

Owner

Phone

(201) 444-1988

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Oconnell, D.C.

  • Chiropractor
  • Waldwick, NJ
  • NPI 1699771667
  NPD (past) Authorized official
• Cory O'Connell, DC

  • Chiropractor
  • Waldwick, NJ
  • NPI 1679089007
  NPD (past)
• Kyle O'Connell

  • Chiropractor
  • Waldwick, NJ
  • NPI 1972917920
  NPD (past)

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1871921015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CRESCENT AVE.",
            "address_2": "SUITE B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-444-1988",
            "fax_number": "201-444-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CRESCENT AVE",
            "address_2": "SUITE B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631431",
            "telephone_number": "201-444-1988",
            "fax_number": "201-444-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J O'CONNELL D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00268600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5231400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naresh Kanani, RPH
• Catalina Kane, CPHT
• Kathyln M. Kim, MD LLC
• Jodie Hannah Katz
• Ramandeep Kaur, AGNP
• Steven Kim, D.D.S.
• Elizabeth A Klein, M.S.W.
• Barbara Knowles-Fenning, D.D.S.
• Cynthia Koch, PSY.D
• Jennifer Koo, M.D.

• Chiropractor in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.