Individual provider Active NPI

Andrew O'Neill

  • Physician Assistant
  • Cherry Hill, NJ
National Provider Identifier
1871215814
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00734300 Issued in NJ
Practice address
1949 Marlton Pike E
Cherry Hill, NJ 08003-2145
Phone
(856) 651-7901
NPI assigned
Sep 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MP00734300 NJ
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X 25MP00734300 NJ
Physician Assistant 363A00000X 25MP00734300 NJ Primary

Addresses

Primary practice location

1949 Marlton Pike E
Cherry Hill, NJ 08003-2145

Mailing address

5 Sugar Mill CT
Sewell, NJ 08080-2646
Phone (856) 472-2763

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108000431 NJ Practitioner - Physician Assistant 3375910136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

1210 Route 130 N
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407

1410 Delsea Dr
FL 2
Deptford, NJ 08096-4101
Phone (856) 579-8897

165 S Black Horse Pike
Afc Urgent Care Paramus
Williamstown, NJ 08094-1559
Phone (856) 516-4700

2 S Black Horse Pike
Mount Ephraim, NJ 08059-1321
Phone (856) 931-3107

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

4318 Route 130
Willingboro, NJ 08046-1427
Phone (609) 871-2045

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010

875 Mantua Pike
Woodbury, NJ 08096-3337
Phone (856) 384-5949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1871215814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUGAR MILL CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802646",
            "telephone_number": "856-472-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032145",
            "telephone_number": "856-651-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MP00734300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00734300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00734300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.