Individual provider Active NPI

Maria Jidriska Myers

  • Family Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1073133153
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00927000 Issued in NJ
Practice address
23-00 NJ-208
Fair Lawn, NJ 07410
Phone
(973) 200-7380
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00927000 NJ Primary

Addresses

Primary practice location

23-00 NJ-208
Fair Lawn, NJ 07410

Mailing address

17 Budd Ave
Budd Lake, NJ 07828-2404
Phone (908) 917-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210210000128 NJ Practitioner - Nurse Practitioner 6800201583 Reassigns benefits to 1 organization
I20210210000518 NY Practitioner - Nurse Practitioner 6800201583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

310 Madison Ave
Suite 206
Morristown, NJ 07960-6967
Phone (973) 571-2121

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00927000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Dec 9, 2020 Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

1000 State Route 35
Ste 300
Middletown, NJ 07748
Phone (732) 784-6550

310 Madison Ave
Ste 206
Morristown, NJ 07960

88 Park Ave
Ste 2A
Nutley, NJ 07110
Phone (973) 434-1402

88 Park Ave
Ste 1B
Nutley, NJ 07110

30 W Century Rd
Ste 320
Paramus, NJ 07652

71 Union Ave
Ste 108
Rutherford, NJ 07070
Phone (201) 804-8900

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

110 E 55th St
Fl 14
New York, NY 10022
Phone (212) 238-3000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: maria.myers@schweigerderm.emadirect.md

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1073133153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BUDD AVE",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078282404",
            "telephone_number": "908-917-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 NJ-208",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "973-200-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MARIA",
        "middle_name": "JIDRISKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00927000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.