Active NPI
John Michael O'Neal, MD
- Diagnostic Radiology Physician
- Morristown, NJ
National Provider Identifier
1548425978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MA42736
- Practice address
- 14 Three Gables Rd
Morristown, NJ 07960-6505 - Phone
- (973) 538-9540
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA42736 | NJ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 152130-1 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | MD417556 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 31238 | AZ |
Addresses
Primary practice location
14 Three Gables Rd
Morristown, NJ 07960-6505
Mailing address
14 Three Gables Rd
Morristown, NJ 07960-6505
Phone (973) 538-9540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5246202 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31238 | AZ | MD | Diagnostic Radiology Physician |
| MA42736 | NJ | MD | Diagnostic Radiology Physician |
| 152130-1 | NY | MD | Diagnostic Radiology Physician |
| MD417556 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Imaging Center of West Orange LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Radiology Clinic/Center
- West Orange, NJ
- NPI 1306944657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1548425978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 THREE GABLES RD",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606505",
"telephone_number": "973-538-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 THREE GABLES RD",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606505",
"telephone_number": "973-538-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "MA42736",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "152130-1",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD417556",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "31238",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5246202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.