Active NPI
John P O'Grady, M.D.
- Infectious Disease Physician
- Florham Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA56380
- Practice address
- 220 Ridgedale Ave
Suite C2
Florham Park, NJ 07932-1361 - Phone
- (973) 538-5844
- Fax
- (973) 267-0181
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MA56380 | NJ | Primary |
Addresses
Primary practice location
220 Ridgedale Ave
Suite C2
Florham Park, NJ 07932-1361
Mailing address
220 Ridgedale Ave
Suite C2
Florham Park, NJ 07932-1361
Phone (973) 538-5844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5541204 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090625000407 | NJ | Practitioner - Infectious Disease | 3779576590 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56380 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Medical Associates of Morristown, P.a. | Infectious Disease | Current | Accepting new patients |
| Travel Heath Consultants, LLC | Infectious Disease | Past | Accepting new patients |
| Ipc Hospitalist Physicians of New Jersey PC | Past | Accepting new patients | |
| Ipc Hospitalist Physicians of New Jersey PC | Past | Accepting new patients |
Locations
220 Ridgedale Ave
Ste C2
Florham Park, NJ 07932
Phone (973) 538-5844
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
25 Lindsley Dr
Ste 311
Morristown, NJ 07960
Phone (973) 538-5844
Interoperability endpoints
- jogrady@affmed.gwaydirect.com
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Morristown, NJ
- NPI 1194832840
Infectious Disease, NJ
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1013141423
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1639303159
-
- Infectious Disease Physician
- Florham Park, NJ
- NPI 1821372749
Infectious Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1366477283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RIDGEDALE AVE",
"address_2": "SUITE C2",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321361",
"telephone_number": "973-538-5844",
"fax_number": "973-267-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RIDGEDALE AVE",
"address_2": "SUITE C2",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321361",
"telephone_number": "973-538-5844",
"fax_number": "973-267-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "MA56380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5541204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.