Active NPI
John M Ohea, D.C.
- Chiropractor
- Medford, NJ
National Provider Identifier
1366494221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00279400
- Practice address
- 30 Jackson Road
Suite a-2
Medford, NJ 08055 - Phone
- (609) 714-1899
- Fax
- (609) 714-8218
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02794 | NJ | |
| Chiropractor | 111N00000X | 38MC00279400 | NJ | Primary |
Addresses
Primary practice location
30 Jackson Road
Suite a-2
Medford, NJ 08055
Mailing address
30 Jackson Road
Suite a-2
Medford, NJ 08055
Phone (609) 714-1899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02794 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim S.Nagle, DC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Medford, NJ
- NPI 1134494347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1366494221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 JACKSON ROAD",
"address_2": "SUITE A-2",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "08055",
"telephone_number": "609-714-1899",
"fax_number": "609-714-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 JACKSON ROAD",
"address_2": "SUITE A-2",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "08055",
"telephone_number": "609-714-1899",
"fax_number": "609-714-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHEA",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02794",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00279400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.