Organization Active NPI

Onduo Professionals of New Jersey, PC

  • Clinic/Center
  • Newton, MA
National Provider Identifier
1457827693
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ONDUO PROFESSIONALS OF NEW JERSEY, PC
Practice address
55 Chapel St
Newton, MA 02458-1060
Phone
(833) 446-6386
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Mr. Patrick Robert Cunningham
Title
Coo
Phone
(833) 446-6386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

55 Chapel St
Newton, MA 02458-1060

Mailing address

55 Chapel St Ste 10
Newton, MA 02458-1095
Phone (833) 446-6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000028 MA Part B Supplier - Clinic/Group Practice 2668863051 Receives reassigned benefits from 2 practitioners
Practice locations: Newton Center, MA

National Provider Directory

National Provider Directory

Locations

55 Chapel St
Ste 3
Newton, MA 02458
Phone (833) 446-6386

55 Chapel St
Ste 10
Newton, MA 02458

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1457827693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 10",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581095",
            "telephone_number": "833-446-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581060",
            "telephone_number": "833-446-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONDUO PROFESSIONALS OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "833-446-6386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.