Individual provider Active NPI

Maria Abigail Pama, APN

  • Adult Health Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1013551092
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00957000 Issued in NJ
Practice address
98 Park St
Montclair, NJ 07042-2929
Phone
(973) 783-0800
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ00957000 NJ Primary

Addresses

Primary practice location

98 Park St
Montclair, NJ 07042-2929

Mailing address

98 Park St
Montclair, NJ 07042-2929
Phone (973) 783-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@crescentmedgroup.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220001533 NJ Practitioner - Nurse Practitioner 6406280684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Internal Medicine Group, LLCGroup PAC ID 8628067931, 2 clinicians

Practice addresses (Care Compare)

98 Park St
Montclair, NJ 07042-2929
Phone (973) 783-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00957000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Internal Medicine Group, LLC Single Specialty CurrentSince Dec 2, 2019 Accepting new patients
Boston Neurobehavioral Associates, LLC Single Specialty PastSince Nov 17, 2019 Accepting new patients

Locations

98 Park St
Montclair, NJ 07042
Phone (973) 783-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013551092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422929",
            "telephone_number": "973-783-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422929",
            "telephone_number": "973-783-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMA",
        "first_name": "MARIA",
        "middle_name": "ABIGAIL",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00957000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@crescentmedgroup.com",
            "affiliation": "Y",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct information/health information exchange",
            "address_1": "98 Park St",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.