Individual provider Active NPI

John P O'Grady, M.D.

  • Infectious Disease Physician
  • Florham Park, NJ
National Provider Identifier
1366477283
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA56380 Issued in NJ
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

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5541204MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090625000407 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 3779576590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56380NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Medical Associates of Morristown, P.a. Infectious Disease CurrentSince Oct 1, 1993 Accepting new patients
Travel Heath Consultants, LLC Infectious Disease PastSince Oct 1, 1993 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.