Maria R Keanchong MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARIA R KEANCHONG MD PA

Practice address

20 Prospect Ave
Suite 810
Hackensack, NJ 07601-1997

Phone

(201) 880-4949

Fax

(201) 880-4950

NPI assigned

Oct 7, 2009

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria R. Keanchong, MDNPI 1174586788

Title

Owner

Phone

(201) 880-4949

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria R Keanchong, MD

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
  • NPI 1174586788
  Authorized official Same address or phone
• Gabriela Ross, MD

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
  • NPI 1154814135
  NPD

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1104151216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 810",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-880-4949",
            "fax_number": "201-880-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 810",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-880-4949",
            "fax_number": "201-880-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA R KEANCHONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "KEANCHONG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-880-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marblejam Kids Inc.
• Suzanne M Marcellaro, APN
• Danielle Elizabeth Marcotulli, APN
• Michelle Marie Maresca, MD
• Katherine Margolin, MD
• Marybeth Mariano, APN
• Gina Marino, C-PNP
• Mark Berman,MD,PA
• Mark C Loschiavo DMD PA
• Kiril Mark, M.D.

• Obstetrics & Gynecology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.