Active NPI
Maria P Boyle, M.D,
- Pediatrics Physician
- North Arlington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA06254200
- Practice address
- 200 Belleville Tpke
North Arlington, NJ 07031-6235 - Phone
- (201) 998-5386
- Fax
- (201) 998-2973
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA06254200 | NJ | Primary |
Addresses
Primary practice location
200 Belleville Tpke
North Arlington, NJ 07031-6235
Mailing address
260 Chestnut St
Newark, NJ 07105-6870
Phone (973) 578-4745
Other practice location 1
260 Chestnut St
Newark, NJ 07105-6870
Phone (973) 578-4745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4508807 | Medicaid | NJ |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Newark | Current | Accepting new patients | |
| City of Newark | Current | Accepting new patients | |
| City of Newark | Past | Accepting new patients | |
| City of Newark | Past | Accepting new patients |
Locations
394 University Ave
Newark, NJ 07102
Phone (800) 734-7083
701 S Orange Ave
Newark, NJ 07106
Phone (800) 734-7083
110 William St
Newark, NJ 07102
Phone (973) 424-4271
Interoperability endpoints
- maria.boyle.p1@direct.memhc.nextgenshare.com
Organizations & group practices 5
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.
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1356561278
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
-
dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1972206258
-
dba Newark Department of Health and Community Welllness
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1295958908
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1376976704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1083758775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CHESTNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071056870",
"telephone_number": "973-578-4745",
"fax_number": "973-578-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELLEVILLE TPKE",
"city": "NORTH ARLINGTON",
"state": "NJ",
"postal_code": "070316235",
"telephone_number": "201-998-5386",
"fax_number": "201-998-2973"
}
],
"practiceLocations": [
{
"address_1": "260 Chestnut St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071056870",
"country_code": "US",
"telephone_number": "973-578-4745",
"fax_number": "973-578-8797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYLE",
"first_name": "MARIA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06254200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4508807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Arlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.