Individual provider Active NPI

Mary O'Donnell, M.D.

  • Internal Medicine Physician
  • Woodbridge, NJ
National Provider Identifier
1962473108
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA65838 Issued in NJ
Practice address
1000 Route 9 N
Suite 302
Woodbridge, NJ 07095-1215
Phone
(732) 634-0036
Fax
(732) 855-9395
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA65838 NJ Primary

Addresses

Primary practice location

1000 Route 9 N
Suite 302
Woodbridge, NJ 07095-1215

Mailing address

1000 Route 9 N
Suite 302
Woodbridge, NJ 07095-1215
Phone (732) 634-0036

Other identifiers 3

IdentifierTypeStateIssuer
K5409OtherNJHORIZON BLUE SHIELD
873097OtherAETNA
8222100MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000516 NJ Practitioner - Internal Medicine 0345207411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodbridge Medical Associates,P.a.Group PAC ID 7618933383, 5 clinicians

Practice addresses (Care Compare)

1000 Route 9 N
Suite 302
Woodbridge, NJ 07095-1200
Phone 7326340036240

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA65838NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Medical Associates,P.a. Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients

Locations

1000 US Highway 9 N
Ste 302
Woodbridge, NJ 07095
Phone (732) 634-0036

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962473108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 9 N",
            "address_2": "SUITE 302",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951215",
            "telephone_number": "732-634-0036",
            "fax_number": "732-855-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 9 N",
            "address_2": "SUITE 302",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951215",
            "telephone_number": "732-634-0036",
            "fax_number": "732-855-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA65838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE SHIELD",
            "identifier": "K5409",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "873097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8222100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.