Organization Active NPI

McMahon Medicine LLC

  • Internal Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1730286246
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07350500 Issued in NJ
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

Updated by the provider on Jan 27, 2016

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9076409MedicaidNJ

Other names 1

  • McMahon Medicine LLC Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.