Active NPI
Christian Paul McDonough, MD
- Anesthesiology Physician
- Maywood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08741600
- Practice address
- 351 Maywood Ave FL 2
Maywood, NJ 07607-1906 - Phone
- (201) 546-1374
- NPI assigned
- Jul 23, 2007
- Last updated
- Sep 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 240836 | NY | |
| Anesthesiology Physician | 207L00000X | 25MA08741600 | NJ | Primary |
Addresses
Primary practice location
351 Maywood Ave FL 2
Maywood, NJ 07607-1906
Mailing address
351 Maywood Ave FL 2
Maywood, NJ 07607-1906
Phone (201) 546-1374
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236934 | Medicaid | NJ | |
| P00953296 | Other | NJ | RR MCR PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240836 | NY | MD | Medicare Defined Swing Bed Hospital Unit |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Anesthesiology | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Advanced Ambulatory Anesthesiologists LLC | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Jersey Shore Anesthesiology Associates PA | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Anesthesiology | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Anesthesiology | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Anesthesiology | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Anesthesiology | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
65 James St
Edison, NJ 08820
Phone (732) 321-7010
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
377 Jersey Ave
Ste 510
Jersey City, NJ 07302
Phone (201) 447-1700
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Interoperability endpoints
- cmcdonough52603@epicdirect.rwjbh.org
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Anesthesiology
-
- Specialist
- Millburn, NJ
- NPI 1336142249
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Anesthesiology Physician
- Neptune, NJ
- NPI 1538190764
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Anesthesiology
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Anesthesiology
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Anesthesiology Physician
- New Brunswick, NJ
- NPI 1063420776
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1194925644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 MAYWOOD AVE FL 2",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071906",
"telephone_number": "201-546-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 MAYWOOD AVE FL 2",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071906",
"telephone_number": "201-546-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "CHRISTIAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NY",
"license": "240836",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08741600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236934",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PTAN",
"identifier": "P00953296",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.