Active NPI
Michael B O'Neill, MD
- Pediatrics Physician
- Sparta, NJ
National Provider Identifier
1477510782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA029820
- Practice address
- 328 Sparta Ave
Sparta, NJ 07871 - Phone
- (973) 729-2197
- Fax
- (973) 729-5653
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA029820 | NJ | Primary |
| Pediatrics Physician | 208000000X | MD044367L | PA |
Addresses
Primary practice location
328 Sparta Ave
Sparta, NJ 07871
Mailing address
328 Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1237209 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA029820 | NJ | MD | Pediatrics Physician |
| MD044367L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477510782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 SPARTA AVE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "07871",
"telephone_number": "973-729-2197",
"fax_number": "973-729-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 SPARTA AVE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "07871",
"telephone_number": "973-729-2197",
"fax_number": "973-729-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA029820",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD044367L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1237209",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.