Oaktree Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB06391200 Issued in NJ

Legal business name

OAKTREE FAMILY PRACTICE

Practice address

173 Essex Ave Ste 101
Metuchen, NJ 08840-2281

Phone

(732) 321-5100

Fax

(732) 321-5252

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Ahn, D.O.

Title

Office Manager

Phone

(732) 321-5100

Specialties & licenses 1

Addresses

Tax ID family

Oak Tree Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oak Tree Family Practice, LLC

  • Family Medicine Physician
  • Metuchen, NJ
  • NPI 1992954887
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Ahn, D.O.

  • Family Medicine Physician
  • Metuchen, NJ
  • NPI 1609934298
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1417370883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ESSEX AVE STE 101",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402281",
            "telephone_number": "732-321-5100",
            "fax_number": "732-321-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 ESSEX AVE STE 101",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402281",
            "telephone_number": "732-321-5100",
            "fax_number": "732-321-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-321-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06391200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North America Medical Technology Consultation LLC
• Nnenna Nwachukwu
• Nyah Diagnostic LLC
• Deepa Nyayapathi, DMD
• Oak Tree Family Practice, LLC
• Obstetrical & Gynecological Group of Metuchen, PA
• James M Oconnell, PHD
• Old Perth Cardiology Group PA
• Olga Diamantis Psychotherapy LLC
• James Dewitt Oliver Jr., D.D.S.

• Family Medicine Physician in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.