Provider Demographics
NPI:1053744888
Name:O'CONNOR, ASHLEY R (PNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:R
Last Name:O'CONNOR
Suffix:
Gender:
Credentials:PNP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:E
Other - Last Name:ROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 10200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07193-2000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:33 OVERLOOK RD STE L03
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3561
Practice Address - Country:US
Practice Address - Phone:908-522-5800
Practice Address - Fax:908-522-2765
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00733900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics