Individual provider Active NPI

John J Mahoney

  • Pain Medicine (Anesthesiology) Physician
  • Cherry Hill, NJ
National Provider Identifier
1184660474
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS005329L Issued in PA
Practice address
1400 Route 70 E
Cherry Hill, NJ 08034-2240
Phone
(888) 985-2727
NPI assigned
Jun 22, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB04990100 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X OS005329L PA Primary

Addresses

Primary practice location

1400 Route 70 E
Cherry Hill, NJ 08034-2240

Mailing address

PO Box 33465
Belfast, ME 04915-0612
Phone (888) 985-2727

Other identifiers 39

IdentifierTypeStateIssuer
23-2919275OtherPAUNITED HEALTHCARE/OXFORD
23-2919275OtherPAPROCURA MANAGEMENT
23-2919275OtherPAQUALCARE
30026840OtherPAKEYSTONE MERCY
22-1994560OtherNJUNITED HEALTHCARE/OXFORD
23-2919275OtherNJHORIZON BLUE CROSS BLUE SHIELD
23-2919275OtherPADEVON
3107710OtherPAAETNA
3801579OtherPAAETNA
5614434OtherPAFIRST HEALTH NETWORK
P00117313OtherPARAILROAD MEDICARE
1171572OtherNJAETNA
22-1994560OtherPAQUALCARE
22-1994560OtherPAUNITED HEALTHCARE/OXFORD
23-2919275OtherNJUNITED HEALTHCARE/OXFORD
23-2919275OtherPAHEALTH AMERICA/HEALTH ASSURANCE
P00125184OtherPARAILROAD MEDICARE
22-1994560OtherPAFIRST MCO
23-2919275OtherPAGREAT WEST HEALTHCARE
30009932OtherPAHORIZON MERCY
50088203OtherPACAPITAL BLUE CROSS-CLINICAL PAIN MANAGMENT
0100369000OtherPAKEYSTONE HEALTH PLAN EAST
22-1994560OtherPADEVON
30026841OtherPAKEYSTONE MERCY
1184660474OtherPABRAVO
22-1994560OtherPAGREAT WEST HEALTHCARE
435453OtherPAPA BLUE SHIELD
435453OtherPAPERSONAL CHOICE
001966534MedicaidPA
0100369000OtherPAAMERIHEALTH
22-1994560OtherPAPROCURA MANAGEMENT
22-1994560OtherPAHEALTH AMERICA/HEALTH ASSURANCE
22-1994560OtherNJFIRST MCO
23-2919275OtherPAFIRST MCO
23-2919275OtherNJFIRST MCO
50084647OtherPACAPITAL BLUE CROSS
1201983OtherNJAETNA
22-1994560OtherNJHORIZON BLUE CROSS BLUE SHIELD
6039566OtherPACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000917 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 0244122752 Reassigns benefits to 4 organizations
I20040514000537 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 0244122752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

2 8TH St
Hammonton, NJ 08037-3347
Phone (888) 985-2727

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

2760 Century Blvd
Wyomissing, PA 19610-3359
Phone (888) 985-2727

400 Cresson Blvd
Suite 110
Phoenixville, PA 19460-6144
Phone (888) 985-2727

700 E Township Line Rd
FL 1
Havertown, PA 19083-5733
Phone (888) 985-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB04990100NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC Pain Medicine CurrentSince Mar 2, 2014 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince Aug 3, 2016 Accepting new patients
Valley Back & Pain Management Pain Medicine CurrentSince Jan 1, 2003 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Apr 23, 2023 Accepting new patients
Advanced Spine and Pain LLC Pain Medicine CurrentSince Sep 4, 2019 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Sep 4, 2019 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince Aug 3, 2016 Accepting new patients
Valley Pain Center, L.L.C. Past Accepting new patients
Pain Care Institute Past Accepting new patients

Locations (25 of 26)

429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111

1400 Marlton Pike E
Ste 70
Cherry Hill, NJ 08034

1400 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 216-0300

3100 Hingston Ave
Ste 104
Egg Harbor Twp, NJ 08234

3535 Quakerbridge Rd
Ste 200
Hamilton, NJ 08619
Phone (609) 890-1110

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562

1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610

4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222

310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500

750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261

700 E Township Line Rd
Ste 1
Havertown, PA 19083

1800 Byberry Rd
Ste 1101
Huntingdon Vy, PA 19006
Phone (215) 947-7992

1800 Byberry Rd
Ste 1202
Huntingdon Vy, PA 19006
Phone (215) 947-7992

3501 Masons Mill Rd
Ste 501
Huntingdon Vy, PA 19006
Phone (215) 657-1315

3110 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-6600

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

9815 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 333-9697

400 Cresson Blvd
Ste 110
Phoenixville, PA 19460

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100

2607 Keiser Blvd
Ste 200
Wyomissing, PA 19610
Phone (484) 509-0840

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

2760 Century Blvd
Wyomissing, PA 19610
Phone (610) 375-4251

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: john.mahoney.1@11679.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1184660474",
    "addresses": [
        {
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            "country_name": "United States",
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            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150612",
            "telephone_number": "888-985-2727"
        },
        {
            "country_code": "US",
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            "postal_code": "080342240",
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        }
    ],
    "practiceLocations": [],
    "basic": {
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        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
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            "code": "207LP2900X",
            "taxonomy_group": "",
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            "license": "25MB04990100",
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            "issuer": "FIRST MCO",
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        },
        {
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            "identifier": "50084647",
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            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1201983",
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            "state": "NJ"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6039566",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.