Active NPI
McMahon Medicine LLC
- Internal Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1730286246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07350500
- Legal business name
- MCMAHON MEDICINE LLC
- Practice address
- 1305 N Kings Highway
Suite 3
Cherry Hill, NJ 08034 - Phone
- (856) 428-9446
- Fax
- (856) 428-4330
- NPI assigned
- Sep 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ann Patricia McMahon Jr., MD
- Title
- Sole Owner
- Phone
- (856) 428-9446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07350500 | NJ | Primary |
Addresses
Primary practice location
1305 N Kings Highway
Suite 3
Cherry Hill, NJ 08034
Mailing address
1305 N Kings Highway
Suite 3
Cherry Hill, NJ 08034
Phone (856) 428-9446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9076409 | Medicaid | NJ |
Other names 1
- McMahon Medicine LLC
National Provider Directory
National Provider DirectoryLocations
1305 Kings Hwy N
Ste 3
Cherry Hill, NJ 08034
Phone (609) 428-9446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1730286246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N KINGS HIGHWAY",
"address_2": "SUITE 3",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-428-9446",
"fax_number": "856-428-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N KINGS HIGHWAY",
"address_2": "SUITE 3",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-428-9446",
"fax_number": "856-428-4330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMAHON MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "MCMAHON",
"authorized_official_first_name": "MARY ANN",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "856-428-9446",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07350500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9076409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McMahon Medicine LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.