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

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 and National Provider Directory roles.

• O'Connor Chiropractic PC

  • 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
• 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.