Individual provider Active NPI

Maria P Boyle, M.D,

  • Pediatrics Physician
  • North Arlington, NJ
National Provider Identifier
1083758775
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06254200 Issued in NJ
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4508807MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000642 NJ Practitioner - Pediatric Medicine 1052833282 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Newark CurrentSince Apr 1, 2025 Accepting new patients
City of Newark CurrentSince Apr 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.