Kimberly Rosaline O'Connor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009220 Issued in NY

Practice address

125 Jerusalem Ave
Hicksville, NY 11801-4905

Phone

(516) 935-3555

Fax

(516) 935-1225

NPI assigned

Oct 2, 2006

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• O'Connor Chiropractic PC

  dba Platinum Chiropractic

  • Chiropractor
  • Hicksville, NY
  • NPI 1104218684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1942394465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 SHERRY AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931643",
            "telephone_number": "516-731-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014905",
            "telephone_number": "516-935-3555",
            "fax_number": "516-935-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KIMBERLY",
        "middle_name": "ROSALINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Nunziata Byrne, NYSCPS-P, CRPA-P
• Maria P Nunziata, LMSW
• Karen Elise Nuzio, PHYSICIAN ASSISTANT
• Mark Nyitray, D.O.
• O'Connor Chiropractic PC (Platinum Chiropractic)
• Patricia O'Donnell
• Bobby A O'Keefe
• Theresa O'Neill, LCSW
• Dylan O'Rourke, R-PAC
• Nadine Ann O'Sullivan

• Chiropractor in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.