NPIMap

Organization Active NPI

One Oak Medical Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Iselin, NJ
National Provider Identifier
1003429036
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ONE OAK MEDICAL GROUP, LLC
Practice address
1200 Green St
Iselin, NJ 08830-2014
Phone
(973) 870-0777
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faisal Mahmood, MDNPI 1457569196
Title
MD/Owner
Phone
(973) 870-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

1200 Green St
Iselin, NJ 08830-2014

Mailing address

342 Hamburg Tpke
Wayne, NJ 07470-2162
Phone (973) 870-0777

Other practice location 1

4131 Richmond Ave
Staten Island, NY 10312-5633
Phone (973) 870-0777

Other practice location 2

20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251
Phone (973) 870-0777

Other practice location 3

1255 Hamburg Tpke
Wayne, NJ 07470-5071
Phone (973) 870-0777

National Provider Directory

National Provider Directory

Locations

109 Valley Rd
Montclair, NJ 07042
Phone (908) 677-2490

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1003429036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-870-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302014",
            "telephone_number": "973-870-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103125633",
            "country_code": "US",
            "telephone_number": "973-870-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Cherry Tree Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482251",
            "country_code": "US",
            "telephone_number": "973-870-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705071",
            "country_code": "US",
            "telephone_number": "973-870-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE OAK MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "973-870-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.