ONE OAK MEDICAL GROUP, LLC (NPI# 1003429036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003429036 |
| Entity Type | Organization |
| Organization Name | ONE OAK MEDICAL GROUP, LLC |
| Practice Address |
1200 Green St Iselin NJ 08830-2014 |
| Mailing Address |
342 Hamburg Tpke Wayne NJ 07470-2162 |
| Practice Telephone | 9738700777 |
| Mailing Telephone | 9738700777 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | FAISAL MAHMOOD (MD/OWNER) |
| Authorized Official Telephone | 9738700777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 Hamburg Tpke, Wayne, NJ 074705071 | 9738700777 | |
| 20 Cherry Tree Farm Rd, Middletown, NJ 077482251 | 9738700777 | |
| 4131 Richmond Ave, Staten Island, NY 103125633 | 9738700777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055303 | One Oak Medical Group, LLC | Obstetrics & Gynecology | 109 Valley Rd, Montclair, NJ 07042-2322 | 2020-08-28 |
| 1780220764 | One Oak Medical Group, LLC | Specialist | 2 Sears Dr, Paramus, NJ 07652 | 2019-11-25 |
| 1831735166 | One Oak Medical Group, LLC | Specialist | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-11-21 |
| 1669997359 | One Oak Medical Group, LLC | Orthopaedic Surgery | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2017-08-03 |
| Street Address |
1200 GREEN ST |
| City | ISELIN |
| State | NJ |
| Zip Code | 08830-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492271 | Anum Hassan | Audiologist | Woodbridge Corporate Plaza, 485 Route 1 South, Building B, Suite 350, Iselin, NJ 08830 | 2018-10-03 |
| 1437635117 | Ryan L Maurer | Optometrist | 485 Rt 1s, Building, Iselin, NJ 08830 | 2018-07-16 |
| 1003334673 | Rachel Nyaanga | Counselor | 203 Rivington St, Iselin, NJ 08830 | 2017-09-05 |
| 1427570464 | Eric Robert Devore | Optometrist | 485 Route 1 South Building A, Omni Eye Serevices, Iselin, NJ 08830 | 2017-07-12 |
| 1720500762 | Natalie Nguyen | Optometrist | 485 Route 1 South, Building A, Omni Eye Services, Iselin, NJ 08830 | 2017-07-12 |
| 1548617905 | Healthy Body Healthy Mind LLC | Community/Behavioral Health | 97 Grand Avenue, Iselin, NJ 08830 | 2016-05-16 |
| 1710344023 | Pallavi Baskaralingam | Nurse Practitioner | 38 West George Place, Iselin, NJ 08830 | 2016-01-19 |
| 1851722565 | Kelly Di Fabio | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830 | 2013-12-05 |
| 1609212570 | Kenneth Bruce Harpster | Specialist/Technologist | 200 Middlesex - Essex Turnpike, Suite 306n, Iselin, NJ 08830 | 2013-05-17 |
| 1548565138 | Nancy Vasco | Physical Therapy Assistant | 30 Trento St, Iselin, NJ 08830 | 2011-01-13 |
| Find all providers in zip 08830 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
| 1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
| 1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| 1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
| 1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
| 1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
| 1043420136 | Michael Faloon | Orthopaedic Surgery | 158 14th St, Hoboken, NJ 07030-4439 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.