M. KEVIN O'CONNOR MD LLC NPI 1043476450

NPI Information

  • NPI: 1043476450
  • Provider Name: M. KEVIN O'CONNOR MD LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 225 MILLBURN AVE
    SUITE 210
    MILLBURN, NJ
    ZIP 07041
  • Phone: (973) 912-0200

Map and Directions

Get Directions

NPI Details

M. KEVIN O'CONNOR MD LLC is an adult mental health clinic center in Millburn, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. M. KEVIN O'CONNOR MD LLC NPI is 1043476450. The provider is registered as an organization entity type.

The provider's business location address is:

225 MILLBURN AVE
SUITE 210
MILLBURN, NJ
ZIP 07041-737
Phone: (973) 912-0200
Fax: (973) 376-8039

The provider's authorized official is Michael Kevin O'connor .
The authorized official title is Owner and has the following contact phone number (973) 912-0200.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health25MA07734100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11033257431OTHERNEW JERSEYNPI #
2085648MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI