Edward F O'Hara, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03815200 Issued in NJ

Practice address

1009 Radio Rd
Tuckerton, NJ 08087-1638

Phone

(609) 296-3540

Fax

(609) 296-1783

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629279567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "address_2": "1009 RADIO ROAD",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080870488",
            "telephone_number": "609-296-3540",
            "fax_number": "609-296-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 RADIO RD",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080871638",
            "telephone_number": "609-296-3540",
            "fax_number": "609-296-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03815200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Lippman, D.C.
• Erin Macauda, LPN
• Diane C Neuman, M.A., LMFT
• Christopher Nicolosi
• Rosanne Nist
• Ocean Healthcare PCP-Tuckerton LLC (Taylor Care Adult Behavioral Health at Tuckerton)
• Ocean Healthcare PCP-Tuckerton LLC (Taylor Care Adult Behavioral Health at Tuckerton)
• Ocean Healthcare PCP-Tuckerton LLC
• Osprey Rehabilitation, LLC.
• Ronald P Petrosky, DDS

• Internal Medicine Physician in Tuckerton, NJ
• Providers in Tuckerton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.