Individual provider Active NPI

Cheng-an Mao, M.D.

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1003854761
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06279400 Issued in NJ
Practice address
2 Brighton Road
Suite 400
Clifton, NJ 07012-1943
Phone
(862) 249-4904
Fax
(862) 249-4903
NPI assigned
Jun 3, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06279400 NJ Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA062794 NJ

Addresses

Primary practice location

2 Brighton Road
Suite 400
Clifton, NJ 07012-1943

Mailing address

2 Brighton Road
Suite 400
Clifton, NJ 07012-1943
Phone (862) 249-4904

Other identifiers 13

IdentifierTypeStateIssuer
1984962OtherUHC
6955002MedicaidNJ
10212OtherAMERIGROUP
2189814001OtherAMERIHEALTH
60034428OtherHORIZON NJ HEALTH
080182037OtherRAILROAD MEDICARE
133674OtherAETNA CAPITATION
677235OtherAETNA HMO
P2540460OtherOXFORD
2K1553OtherHEALTHNET
5998308OtherGHI
5120373OtherAETNA
PS000004003OtherAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000223 NJ Practitioner - Family PracticePractitioner - Geriatric Medicine 0840242038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

871 Allwood Rd
Clifton, NJ 07012-1943
Phone (862) 249-4904

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA062794NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheng-an Mao, MD, LLC Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients
St. Joseph's Healthcare, Inc. Past Accepting new patients
Gastroenterology Associates of New Jersey, LLC Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
County of Passaic Department of Finance Past Accepting new patients

Locations

315 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (973) 754-4800

2 Brighton Rd
Ste 400
Clifton, NJ 07012
Phone (862) 249-4904

871 Allwood Rd
Clifton, NJ 07012
Phone (973) 405-5163

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1003854761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON ROAD",
            "address_2": "SUITE 400",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121943",
            "telephone_number": "862-249-4904",
            "fax_number": "862-249-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON ROAD",
            "address_2": "SUITE 400",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121943",
            "telephone_number": "862-249-4904",
            "fax_number": "862-249-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "CHENG-AN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06279400",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA062794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1984962",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6955002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2189814001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60034428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080182037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAPITATION",
            "identifier": "133674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "677235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2540460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5998308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5120373",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "PS000004003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.