Organization Active NPI

JMD Family Practice, L.L.C

  • Family Medicine Physician
  • Flemington, NJ
National Provider Identifier
1982014791
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA05652500 Issued in NJ
Legal business name
JMD FAMILY PRACTICE, L.L.C
Practice address
2 Kings CT Ste 203
Flemington, NJ 08822-6019
Phone
(908) 751-5439
Fax
(908) 751-5478
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. John McDonough, M.D.NPI 1942285549
Title
Owner
Phone
(908) 788-7846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA05652500 NJ Primary

Addresses

Primary practice location

2 Kings CT Ste 203
Flemington, NJ 08822-6019

Mailing address

2 Kings CT Ste 203
Flemington, NJ 08822-6019
Phone (908) 751-5439

Other identifiers 1

IdentifierTypeStateIssuer
6274102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003001485 NJ Part B Supplier - Clinic/Group Practice 1153541610 Receives reassigned benefits from 1 practitioner
Practice locations: Flemington, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2080958JMD Family Practice2 Kings Court, Suite 203, Flemington, NJ 08822Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1982014791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KINGS CT STE 203",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088226019",
            "telephone_number": "908-751-5439",
            "fax_number": "908-751-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KINGS CT STE 203",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088226019",
            "telephone_number": "908-751-5439",
            "fax_number": "908-751-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMD FAMILY PRACTICE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-788-7846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA05652500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6274102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.