Active NPI
Nola T. Mahoney, D.O.
- Addiction Medicine (Family Medicine) Physician
- Hamilton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- OS005339L
- Practice address
- 3840 Quakerbridge Rd
Ste 100
Hamilton, NJ 08619-1003 - Phone
- (609) 890-2222
- Fax
- (609) 890-0715
- NPI assigned
- May 18, 2006
- Last updated
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB50026 | NJ | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS005339L | PA | Primary |
| Pain Medicine Physician | 208VP0000X | MB50026 | NJ |
Addresses
Primary practice location
3840 Quakerbridge Rd
Ste 100
Hamilton, NJ 08619-1003
Mailing address
1122 Street Rd
Ste 204
Southampton, PA 18966-4218
Phone (215) 949-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB50026 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Physicians Group LLC | Family Medicine | Current | Accepting new patients |
| Advanced Spine and Pain LLC | Current | Accepting new patients | |
| Advanced Spine and Pain, LLC | Pain Medicine | Current | Accepting new patients |
| Aria Health Physician Services | Family Medicine | Past | Accepting new patients |
| Advanced Spine and Pain, LLC | Pain Medicine | Past | Accepting new patients |
| Cherry Hill Health Care Associates PA | Family Medicine | Past | Accepting new patients |
| Delaware Valley Anesthesia Associates, PC | Past | Accepting new patients |
Locations
1400 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 216-0300
3100 Hingston Ave
Ste 104
Egg Harbor Twp, NJ 08234
2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500
3110 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-6600
5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707
400 Cresson Blvd
Ste 110
Phoenixville, PA 19460
339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111
1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- nola.mahoney.1@11679.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Relievus
- Interventional Pain Medicine Physician
- Hammonton, NJ
- NPI 1730359084
PA
-
- Family Medicine Physician
- Trevose, PA
- NPI 1184984809
-
- Pain Medicine Physician
- Phoenixville, PA
- NPI 1740996586
-
dba Relievus
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1447885116
-
- Family Medicine Physician
- Moorestown, NJ
- NPI 1487607701
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Anesthesiology Physician
- Fairless Hills, PA
- NPI 1861446478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1235182692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 STREET RD",
"address_2": "STE 204",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664218",
"telephone_number": "215-949-3100",
"fax_number": "215-355-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 QUAKERBRIDGE RD",
"address_2": "STE 100",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191003",
"telephone_number": "609-890-2222",
"fax_number": "609-890-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "NOLA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB50026",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "OS005339L",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NJ",
"license": "MB50026",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.