Individual provider Active NPI

Nola T. Mahoney, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Hamilton, NJ
National Provider Identifier
1235182692
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS005339L Issued in PA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 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
I20060731000175 NJ Practitioner - Family PracticePractitioner - General Practice 7416960901 Reassigns benefits to 1 organization
I20110623000410 PA Practitioner - Family PracticePractitioner - Interventional Pain Management 7416960901 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB50026NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC Family Medicine CurrentSince Aug 9, 2014 Accepting new patients
Advanced Spine and Pain LLC CurrentSince Sep 2, 2019 Accepting new patients
Advanced Spine and Pain, LLC Pain Medicine CurrentSince Sep 2, 2019 Accepting new patients
Aria Health Physician Services Family Medicine Past Accepting new patients
Advanced Spine and Pain, LLC Pain Medicine PastSince Feb 12, 2023 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.