Active NPI
John S Owens, MD
- Cardiovascular Disease Physician
- Woodbury, NJ
National Provider Identifier
1194764324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA28117
- Practice address
- 17 W Red Bank Ave
Suite 306
Woodbury, NJ 08096-1630 - Phone
- (856) 845-6807
- Fax
- (856) 845-3760
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA28117 | NJ | Primary |
Addresses
Primary practice location
17 W Red Bank Ave
Suite 306
Woodbury, NJ 08096-1630
Mailing address
17 W Red Bank Ave
Suite 306
Woodbury, NJ 08096-1630
Phone (856) 845-6807
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P499317 | Other | NJ | OXFORD |
| 1684507 | Medicaid | NJ | |
| 33422 | Other | NJ | AETNA HMO |
| 0080962000 | Other | NJ | AMERIHEALTH |
| 118024 | Other | NJ | AMERIHEALTH ADMINISTRATOR |
| 0080962000 | Other | PA | PENNSYLVANIA BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA28117 | NJ | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194764324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE",
"address_2": "SUITE 306",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-845-6807",
"fax_number": "856-845-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE",
"address_2": "SUITE 306",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-845-6807",
"fax_number": "856-845-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA28117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P499317",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684507",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "33422",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0080962000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "118024",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA BLUE SHIELD",
"identifier": "0080962000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.