Individual provider Active NPI

Maureen Wood, M.D.

  • Pulmonary Disease Physician
  • Boonton, NJ
National Provider Identifier
1023139987
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD16877 Issued in RI
Practice address
605 Old Boonton Rd
Boonton, NJ 07005-2057
Phone
(973) 885-3584
NPI assigned
Apr 2, 2007
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 33399 SC
Pulmonary Disease Physician 207RP1001X 33399 SC
Pulmonary Disease Physician 207RP1001X MD16877 RI Primary

Addresses

Primary practice location

605 Old Boonton Rd
Boonton, NJ 07005-2057

Mailing address

605 Old Boonton Rd
Boonton, NJ 07005-2057
Phone (973) 885-3584

Other practice location 1

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33399SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Oct 5, 2017 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jan 29, 2017 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 30, 2019 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 30, 2019 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Feb 22, 2019 Accepting new patients
CHS Neuroscience Group Critical Care Medicine CurrentSince Jan 29, 2017 Accepting new patients
University Surgical Associates (Om) PastSince Aug 18, 2019 Accepting new patients
Mid Columbia Eyecare Center, Inc, PS Past Accepting new patients
Lancaster Hma Physician Management, LLC Pulmonary Disease Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Interoperability endpoints

  • Direct secure messaging: maureen.wood@hca3.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1023139987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD BOONTON RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070052057",
            "telephone_number": "973-885-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BOONTON RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070052057",
            "telephone_number": "973-885-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069104",
            "country_code": "US",
            "telephone_number": "843-797-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "33399",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "33399",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD16877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

Verify at the official NPI Registry.