Active NPI
One Oak Medical Group, LLC
- Obstetrics & Gynecology Physician
- Montclair, NJ
National Provider Identifier
1366055303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ONE OAK MEDICAL GROUP, LLC
- Practice address
- 109 Valley Rd
Montclair, NJ 07042-2322 - Phone
- (973) 870-0777
- NPI assigned
- Aug 28, 2020
- Last updated
- Feb 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faisal Mahmood, MD
- Title
- MD/Owner
- Phone
- (973) 870-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
109 Valley Rd
Montclair, NJ 07042-2322
Mailing address
342 Hamburg Tpke
Wayne, NJ 07470-2162
Phone (973) 870-0777
National Provider Directory
National Provider DirectoryLocations
342 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 595-7779
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Wayne, NJ
- NPI 1457569196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1366055303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702162",
"telephone_number": "973-870-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422322",
"telephone_number": "973-870-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE OAK MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "MAHMOOD",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "973-870-0777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.