Individual provider Active NPI

Elizabeth Mager-Oconnor, GNP., BC

  • Gerontology Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1891183786
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00193600 Issued in NJ
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

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NJ00193600NJMDGerontology Nurse Practitioner
340160-1NYMDGerontology 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.

Verify at the official NPI Registry.