Individual provider Active NPI

Michael William O'Hara, D.O.

  • Interventional Pain Medicine Physician
  • Toms River, NJ
National Provider Identifier
1467431536
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB06250000 Issued in NJ
Practice address
780 NJ Route 37 West
Suite 330
Toms River, NJ 08755-0772
Phone
(732) 780-2355
Fax
(833) 661-9952
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB06250000 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB06250000 NJ
Interventional Pain Medicine Physician 208VP0014X 25MB06250000 NJ Primary

Addresses

Primary practice location

780 NJ Route 37 West
Suite 330
Toms River, NJ 08755-0772

Mailing address

71 Montrose Rd
Colts Neck, NJ 07722-1641
Phone (732) 546-8113

Other practice location 1

1000 Route 9 N Ste 306
Woodbridge, NJ 07095-1200
Phone (732) 780-2355

Other practice location 2

55 Schanck Rd
Suite 8A
Freehold, NJ 07728
Phone (732) 431-9544

Other identifiers 1

IdentifierTypeStateIssuer
528019SL4OtherNJMEDICARE INDIVIDUAL PROVIDER NUMBER

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
I20041130000010 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1557355203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Rutgers New Jersey Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

879 Poole Ave
Hazlet, NJ 07730-2041
Phone (732) 780-2355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62500NJMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Cell Centers CurrentSince Feb 17, 2019 Accepting new patients
Michael E. O'Hara,OD Past Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients
New Jersey Center for Pain Management,LLC Pain Medicine PastSince Aug 15, 2000 Accepting new patients
Shore Health Group, PC Past Accepting new patients

Locations

879 Poole Ave
Ste 306
Hazlet, NJ 07730

879 Poole Ave
Hazlet, NJ 07730
Phone (732) 226-5552

1901 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 864-0111

780 Route 37 W
Ste 330
Toms River, NJ 08755
Phone (732) 691-4898

1000 US Highway 9 N
Ste 306
Woodbridge, NJ 07095
Phone (732) 283-2663

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJDDD/Endpoint/JFJDDD

Organizations & group practices 5

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1467431536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MONTROSE RD",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221641",
            "telephone_number": "732-546-8113",
            "fax_number": "833-661-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NJ ROUTE 37 WEST",
            "address_2": "SUITE 330",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550772",
            "telephone_number": "732-780-2355",
            "fax_number": "833-661-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Route 9 N Ste 306",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070951200",
            "country_code": "US",
            "telephone_number": "732-780-2355",
            "fax_number": "833-661-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Schanck Rd",
            "address_2": "Suite 8A",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "07728",
            "country_code": "US",
            "telephone_number": "732-431-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB06250000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB06250000",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB06250000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER NUMBER",
            "identifier": "528019SL4",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.