Individual provider Active NPI

Maria Lisa Piantanida, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1023737855
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01358000 Issued in NJ
Practice address
23 White St Side Entrance
Shrewsbury, NJ 07702-4477
Phone
(732) 444-8802
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01358000 NJ Primary

Addresses

Primary practice location

23 White St Side Entrance
Shrewsbury, NJ 07702-4477

Mailing address

27 Laurel St
West Long Branch, NJ 07764-1418
Phone (732) 859-4462

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
I20230412001008 NJ Practitioner - Nurse Practitioner 9537534169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valerie Magrino Psychiatric Nurse Practitioner LLCGroup PAC ID 6800166166, 3 clinicians

Practice addresses (Care Compare)

23 White St
Side Entrance
Shrewsbury, NJ 07702-4477
Phone (732) 444-8802

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie Magrino, Psychiatric Nurse Practitioner, LLC Psychiatric/Mental Health CurrentSince Feb 16, 2023 Accepting new patients

Locations

23 White St
Side Entrance
Shrewsbury, NJ 07702
Phone (732) 444-8802

23 White St
Shrewsbury, NJ 07702
Phone (732) 747-1555

Organizations & group practices 1

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023737855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAUREL ST",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641418",
            "telephone_number": "732-859-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITE ST SIDE ENTRANCE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024477",
            "telephone_number": "732-444-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANTANIDA",
        "first_name": "MARIA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01358000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.