MARK M O'CONNELL (NPI# 1558365148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558365148 |
| Entity Type | Individual |
| Full Name | MARK M O'CONNELL |
| Credential | M.D. |
| Practice Address |
111 Lawrenceville Rd Advanced Urgent Care of Lawrenceville Lawrenceville NJ 08648-4307 |
| Mailing Address |
1270 Highway 35 Middletown NJ 07748-2014 |
| Practice Telephone | 6099432071 |
| Practice Fax Number | 6099432077 |
| Mailing Telephone | 7326153900 |
| Mailing Fax Number | 7326710395 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA06567600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8527903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255701777 | Mark Raymond O'connell | Registered Nurse | 6839 Knickerbocker Rd, Ontario, NY 14519-9741 | 2015-09-26 |
| 1932364908 | Mark E O'connell | Psychologist | 161 Waban Hill Rd North, Chestnut Hill, MA 02467-1054 | 2008-07-18 |
| 1558997163 | Mark Edward O'connell | Pharmacist | 1919 N 90th St, Omaha, NE 68114-1316 | 2020-03-14 |
| 1568624617 | Mark O'connell | Counselor | 304 Park Ave S, Suite 1106, New York, NY 10010-4301 | 2008-06-30 |
| 1093747115 | Mark T O'connell | Internal Medicine | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-07-07 |
| Street Address |
111 LAWRENCEVILLE RD ADVANCED URGENT CARE OF LAWRENCEVILLE |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982260964 | I Smile Lawrenceville PC | Dentist | 111 Lawrenceville Rd, Lawrenceville, NJ 08648-4307 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1952698664 | Paul H Chew | Internal Medicine | 1 Brookdale Dr, Lawrenceville, NJ 08648-5545 | 2011-07-01 |
| 1821247156 | Mohammad Shafiq Choudhry | Internal Medicine | 1737 Princeton Ave, Lawrenceville, NJ 08648-4515 | 2008-09-10 |
| 1447434469 | Samir Suresh Shah | Internal Medicine | 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 | 2007-12-27 |
| 1841404233 | Jim Mathew John | Internal Medicine | 755 Walther Rd # 325-0159, Lawrenceville, GA 30046 | 2007-05-09 |
| 1356358741 | Henry A Liberman | Internal Medicine | 721 Wellness Way Ste 210, Lawrenceville, GA 30046-3304 | 2006-08-01 |
| 1376531517 | William Edward Costanzo | Internal Medicine | 3140 Princeton Pike, 2nd Floor, Lawrenceville, NJ 08648-2306 | 2005-10-12 |
| 1043206477 | Michael A. Lipsitt | Internal Medicine | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2005-09-21 |
| 1285620625 | Sheila Edith Hunter Woodhouse | Internal Medicine | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2005-09-21 |
| 1578563953 | Khalid Jalil Hayat | Internal Medicine | 755 Walther Rd, Lawrenceville, GA 30046 | 2005-07-27 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
Please comment or provide details below to improve the information on MARK M O'CONNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.