NPIMap

Individual provider Active NPI

John P Nolan Jr., M.D.

  • Specialist
  • Hamilton, NJ
National Provider Identifier
1417953258
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA51571 Issued in NJ
Practice address
2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone
(609) 896-0444
Fax
(609) 896-1126
NPI assigned
Jun 27, 2005
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA51571 NJ Primary
Orthopaedic Surgery Physician 207X00000X 25MA05157100 NJ

Addresses

Primary practice location

2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386

Mailing address

2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

Other identifiers 1

IdentifierTypeStateIssuer
2469707MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.nolan@mbortho.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000298 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5698672905 Reassigns benefits to 2 organizations
I20111019000307 PA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5698672905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians
Freeman Pain Institute PAGroup PAC ID 9032200134, 7 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 220
Langhorne, PA 19047-1209
Phone (215) 860-4274

2501 Kuser Rd
Suite 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement50
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA51571NJMDSpecialist
25MA05157100NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Pain Institute PA CurrentSince Aug 29, 2023 Accepting new patients

Locations

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

Interoperability endpoints

  • Direct secure messaging: john.nolan.1@21449.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1417953258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA51571",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA05157100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2469707",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.nolan@mbortho.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2501 Kuser Rd Ste 3",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086913386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.