Individual provider Active NPI

Maureen F Sweeney-McDonough, C-APN

  • Adult Health Nurse Practitioner
  • Roselle Park, NJ
National Provider Identifier
1003855370
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08629100 Issued in NJ
Practice address
608 Larch St
Roselle Park, NJ 07204-1603
Phone
(908) 245-7562
NPI assigned
Jun 5, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN08629100 NJ Primary

Addresses

Primary practice location

608 Larch St
Roselle Park, NJ 07204-1603

Mailing address

608 Larch St
Roselle Park, NJ 07204-1603
Phone (908) 245-7562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1003855370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 LARCH ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041603",
            "telephone_number": "908-245-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LARCH ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041603",
            "telephone_number": "908-245-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY-MCDONOUGH",
        "first_name": "MAUREEN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "C-APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08629100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.