Individual provider Active NPI

John P O Reardon, MD

  • Psychiatry Physician
  • Voorhees, NJ
National Provider Identifier
1336171776
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06137200 Issued in NJ
Practice address
2301 E Evesham Rd Ste 304
Voorhees, NJ 08043-4503
Phone
(856) 375-2406
Fax
(856) 888-1390
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD059532L PA
Psychiatry Physician 2084P0800X 25MA06137200 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 304
Voorhees, NJ 08043-4503

Mailing address

2301 E Evesham Rd Ste 304
Voorhees, NJ 08043-4503
Phone (856) 375-2406

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06137200NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John O'Reardon MD LLC Psychiatry Current Accepting new patients

Locations

2301 E Evesham Rd
Ste 304
Voorhees, NJ 08043
Phone (856) 375-2406

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1336171776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 304",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434503",
            "telephone_number": "856-375-2406",
            "fax_number": "856-888-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 304",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434503",
            "telephone_number": "856-375-2406",
            "fax_number": "856-888-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O REARDON",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD059532L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06137200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.