Healthcare Provider Details

I. General information

NPI: 1063736510
Provider Name (Legal Business Name): DAVID J O'CONNOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 GEORGE ST STE 105
NEW BRUNSWICK NJ
08901-2009
US

IV. Provider business mailing address

5 SUMMIT AVE STE 105
HACKENSACK NJ
07601-1271
US

V. Phone/Fax

Practice location:
  • Phone: 732-993-5500
  • Fax: 732-993-7700
Mailing address:
  • Phone: 732-735-0987
  • Fax: 732-605-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMA090510
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: