| Dr Brian Kevin O'connor, MD | |
|
375 Mount Pleasant Ave, West Orange, NJ 07052-2724 | |
| (973) 731-9442 | |
| (973) 731-2918 |
| Full Name | Dr Brian Kevin O'connor |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 375 Mount Pleasant Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275647216 | NPI | - | NPPES |
| 6617000 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 25MA07011500 (New Jersey) | Primary |
| Entity Name | Pediatric Cardiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295873255 PECOS PAC ID: 5799768875 Enrollment ID: O20090702000457 |
| Entity Name | Barnabas Health Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
| Entity Name | Rwjbh Observation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Kevin O'connor, MD 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 Ph: (973) 731-9442 | Dr Brian Kevin O'connor, MD 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 Ph: (973) 731-9442 |
Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Stephen Amaefuna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Faas Ct, West Orange, NJ 07052 Phone: 973-715-2688 Fax: 973-324-9725 | |
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227 | |
Marianne Jacob, Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |