One Oak Medical Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ONE OAK MEDICAL GROUP, LLC

Practice address

905 Allwood Rd
Clifton, NJ 07012-1945

Phone

(973) 870-7777

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Faisal Mahmood, MD

Title

Owner of Practice

Phone

(973) 870-0777

Specialties & licenses 1

Addresses

Other names 1

• One Oak Medical Group, LLC Doing business as

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1831735166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD ROAD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121945",
            "telephone_number": "973-870-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE OAK MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "973-870-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Oak Medical Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.