O'Connor, Michael Kevin
O'Connor, Michael Kevin is an individual health care provider with primary practice located at 183 South Orange Avenue Suite E1559, Newark NJ 07107-3000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. O'Connor, Michael Kevin can be contacted via phone (973) 972-2977.Contact Information
Primary practice address
183 South Orange Avenue Suite E1559
Newark NJ 07107-3000
Phone: (973) 972-2977
Fax: (973) 972-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07734100 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA07734100 | New Jersey |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 25MA07734100 | New Jersey |
Profile Details
| NPI number | 1033257431 |
|---|---|
| LBN Legal business name | O'Connor, Michael Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jun 10th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033257431 | NPPES |
| New Jersey | MEDICAID | 0050199 |
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