Active NPI
John J. McKeon, M.D.
- Pediatric Orthopaedic Surgery Physician
- East Brunswick, NJ
National Provider Identifier
1770688137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 25MA02926000
- Practice address
- 585 Cranbury Road
Suite a
East Brunswick, NJ 08816 - Phone
- (732) 390-1160
- Fax
- (732) 390-8449
- NPI assigned
- Sep 13, 2006
- Last updated
- Aug 23, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA29260 | NJ | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 25MA02926000 | NJ | Primary |
Addresses
Primary practice location
585 Cranbury Road
Suite a
East Brunswick, NJ 08816
Mailing address
585 Cranbury Road
Suite a
East Brunswick, NJ 08816
Phone (732) 390-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125807 | 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 |
|---|---|---|---|
| MA29260 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Pediatric Orthopedic Associates, P.a. | Orthopaedic Surgery | Past | Accepting new patients |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- East Brunswick, NJ
- NPI 1528017654
-
dba University Orthopaedic Associates
- Orthopaedic Surgery Physician
- Newark, NJ
- NPI 1164432761
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1770688137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 CRANBURY ROAD",
"address_2": "SUITE A",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-1160",
"fax_number": "732-390-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 CRANBURY ROAD",
"address_2": "SUITE A",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-1160",
"fax_number": "732-390-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEON",
"first_name": "JOHN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA29260",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NJ",
"license": "25MA02926000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3125807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
- Kathryn Ryan McBratney
- Ruxny McCoy, APN
- Christina McDermott
- Kelsey C McDonald, BCBA
- Scott Blaise McDougall, CH.T
- Thomas G McPartland, M.D.
- Alexandria McSweeney, DPT
- Medexpress Urgent Care - Northern New Jersey, PC (MedExpress Urgent Care - East Brunswick)
- Medical Associates of New Brunswick, P.a.
- Medical Consultants of Central NJ, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.