Robert McMahon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00277500 Issued in NJ

Practice address

1425 Pompton Ave
Suite 1-3
Cedar Grove, NJ 07009-1043

Phone

(973) 785-9300

Fax

(973) 256-8735

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Children'S Therapy

  • Developmental Disabilities Clinic/Center
  • Cedar Grove, NJ
  • NPI 1992102339
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1992189278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LONG BRANCH WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524947",
            "telephone_number": "973-785-9300",
            "fax_number": "973-256-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE",
            "address_2": "SUITE 1-3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-9300",
            "fax_number": "973-256-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00277500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC Medical Group LLC
• Lori Gaines McCullom, OTR
• Kelly Ann McGovern, PT, DPT
• Robert A McKenna, DMD
• Sonya McKinney
• Jillian Mendez, OTR/L
• Lauren Procton Meyer, PSY.D.
• Samantha Rose Miller
• Mina Makram DDS LLC
• Mindful Movement Performance Physical Therapy

• Occupational Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.