Provider Demographics
NPI:1477654507
Name:O'CONNOR, JAMES JOSEPH III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:O'CONNOR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W NEW YORK AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1872
Mailing Address - Country:US
Mailing Address - Phone:609-926-1450
Mailing Address - Fax:609-926-8419
Practice Address - Street 1:18 W NEW YORK AVENUE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-1872
Practice Address - Country:US
Practice Address - Phone:609-926-1450
Practice Address - Fax:609-926-8419
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05851300207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ567131000OtherAMERIHEALTH
NJ496749OtherAETNA
NJ3365409Medicaid
NJ3365409Medicaid
729061AWIMedicare ID - Type Unspecified