MR. RORY DANIEL O'CONNELL
NPI 1811628217
Social Worker - Clinical in Toms River, NJ

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
16 WHITESVILLE RD, TOMS RIVER, NJ 08753(732) 797-2505 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Rory Daniel O'connell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RORY DANIEL O'CONNELL (NPI 1811628217) is an individual clinical provider in Toms River, New Jersey and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811628217
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RORY DANIEL O'CONNELL
Location Address16 WHITESVILLE RDToms River, NJ 08753-4107
Mailing Address167 South StManasquan, NJ 08736-3554
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1811628217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
16 WHITESVILLE RD, Toms River, NJ 08753

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rory Daniel O'connell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315452166
PECOS Enrollment IDI20250711002432
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rory O'connell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
219 TAYLORS MILLS ROAD
Manalapan, NJ 07726
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Counselor (Addiction (Substance Use Disorder))
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Social Worker
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Counselor (Addiction (Substance Use Disorder))
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Internal Medicine (Addiction Medicine)
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Counselor (Addiction (Substance Use Disorder))
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Community Based Residential Treatment Facility, Mental Illness
16 WHITESVILLE RD
TOMS RIVER, NJ 08753
Skilled Nursing Facility
16 WHITESVILLE RD
TOMS RIVER, NJ 08753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rory O'connell's NPI number?

The NPI number for Rory O'connell is 1811628217. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Rory O'connell located?

Rory O'connell practices at 16 Whitesville Rd, Toms River, NJ 08753. The listed phone number is (732) 797-2505.

What is Rory O'connell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rory O'connell enrolled in Medicare?

Yes. Rory O'connell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rory O'connell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rory O'connell reassigns Medicare benefits to Exceptional Wellness Counseling, Inc. (Manalapan, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rory O'connell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rory O'connell accept?

Health plans from Oscar Health list Rory O'connell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rory O'connell was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.