Active NPI
James P Mooney Jr., M.D.
- Occupational Medicine Physician
- Orange, CT
National Provider Identifier
1306074570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 8412
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8412 | CT | MD | Clinical Social Worker |
| 008412 | CT | MD | Physical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.