Active NPI
Elizabeth Mager-Oconnor, GNP., BC
- Gerontology Nurse Practitioner
- Paramus, NJ
National Provider Identifier
1891183786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ00193600
- Practice address
- 15 Essex Rd
Suite 305
Paramus, NJ 07652-1451 - Phone
- (201) 291-6000
- Fax
- (201) 291-6230
- NPI assigned
- Dec 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00193600 | NJ | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 340160-1 | NY |
Addresses
Primary practice location
15 Essex Rd
Suite 305
Paramus, NJ 07652-1451
Mailing address
110 Lincoln Ave
Pearl River, NY 10965-1707
Phone (845) 558-2295
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00193600 | NJ | MD | Gerontology Nurse Practitioner |
| 340160-1 | NY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1891183786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LINCOLN AVE",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651707",
"telephone_number": "845-558-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ESSEX RD",
"address_2": "SUITE 305",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521451",
"telephone_number": "201-291-6000",
"fax_number": "201-291-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGER-OCONNOR",
"first_name": "ELIZABETH",
"credential": "GNP., BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00193600",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340160-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.