Active NPI
JMD Family Practice, L.L.C
- Family Medicine Physician
- Flemington, NJ
National Provider Identifier
1982014791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA05652500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John McDonough, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6274102 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2080958 | JMD Family Practice | Certificate of waiver | Jul 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Flemington, NJ
- NPI 1942285549
Family Medicine, NJ
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.