Active NPI
John O'Mahony
- Veterinarian
- Stewartsville, NJ
National Provider Identifier
1063687200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 29VI00430990
- Practice address
- 633 S Main St
Stewartsville, NJ 08886-2211 - Phone
- (908) 454-9689
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 29VI00430990 | NJ | Primary |
Addresses
Primary practice location
633 S Main St
Stewartsville, NJ 08886-2211
Mailing address
PO Box 121
Stewartsville, NJ 08886-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29VI00430990 | NJ | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1063687200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "STEWARTSVILLE",
"state": "NJ",
"postal_code": "088860121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 S MAIN ST",
"city": "STEWARTSVILLE",
"state": "NJ",
"postal_code": "088862211",
"telephone_number": "908-454-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MAHONY",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NJ",
"license": "29VI00430990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stewartsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.