Individual provider Active NPI

Patricia Maher-Mediuch, RN, APN, C

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Cape May Court House, NJ
National Provider Identifier
1083659536
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NC10613300 Issued in NJ
Practice address
605 Route 9 S Ste 3
Cape May Court House, NJ 08210-2343
Phone
(609) 665-6242
Fax
(609) 463-9798
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NC10613300 NJ Primary

Addresses

Primary practice location

605 Route 9 S Ste 3
Cape May Court House, NJ 08210-2343

Mailing address

2 Rabbit Run
Cape May, NJ 08204-4423
Phone (609) 463-9797

Other identifiers 1

IdentifierTypeStateIssuer
020538093OtherNJEMPLOYER IDENTIFICATION N

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, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1083659536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RABBIT RUN",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082044423",
            "telephone_number": "609-463-9797",
            "fax_number": "609-463-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ROUTE 9 S STE 3",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102343",
            "telephone_number": "609-665-6242",
            "fax_number": "609-463-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER-MEDIUCH",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "RN, APN, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC10613300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION N",
            "identifier": "020538093",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.