Individual provider Active NPI

James P Mooney Jr., M.D.

  • Occupational Medicine Physician
  • Orange, CT
National Provider Identifier
1306074570
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
8412 Issued in CT
Practice address
352 Timberlane Dr
Orange, CT 06477-2845
Phone
(203) 795-3986
Fax
(203) 795-9849
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 8412 CT
Occupational Medicine Physician 2083X0100X 8412 CT Primary

Addresses

Primary practice location

352 Timberlane Dr
Orange, CT 06477-2845

Mailing address

352 Timberlane Dr
Orange, CT 06477-2845
Phone (203) 795-3986

Other names 1

  • Dr. James P. Mooney Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8412CTMDClinical Social Worker
008412CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1306074570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 TIMBERLANE DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772845",
            "telephone_number": "203-795-3986",
            "fax_number": "203-795-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 TIMBERLANE DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772845",
            "telephone_number": "203-795-3986",
            "fax_number": "203-795-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CT",
            "license": "8412",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MOONEY",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.