ONE OAK MEDICAL GROUP, LLC (NPI# 1669997359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669997359 |
| Entity Type | Organization |
| Organization Name | ONE OAK MEDICAL GROUP, LLC |
| Other Organization Name | SAME AS ABOVE |
| Practice Address |
342 Hamburg Tpke Ste 202 Wayne NJ 07470-2166 |
| Mailing Address |
342 Hamburg Tpke Ste 203 Wayne NJ 07470-2166 |
| Practice Telephone | (973) 870-0777 |
| Mailing Telephone | 9738700777 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | FAISAL MAHMOOD (CEO) |
| Authorized Official Telephone | 9738700777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 25MA08833300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| same as above | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 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 |
| Street Address |
342 HAMBURG TPKE STE 202 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569196 | Faisal Mahmood | Orthopaedic Surgery | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2007-05-18 |
| 1326649955 | Tiffany A Piatt | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-11-02 |
| 1548887391 | Shefin Mathew | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-06-28 |
| 1790047959 | Ahmad Badri | Orthopaedic Surgery | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1598934580 | Arash Emami, M.d.,pc | Orthopaedic Surgery | 504 Valley Rd, 2nd Floor, Wayne, NJ 07470-3534 | 2008-02-25 |
| 1194919340 | Kumar Gautam Sinha | Orthopaedic Surgery | 504 Valley Rd, Ste 203, Wayne, NJ 07470-3534 | 2007-08-30 |
| 1205846680 | Ki Soo Hwang | Orthopaedic Surgery | 504 Valley Rd, 2nd Floor, Wayne, NJ 07470-3534 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 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 |
| 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.