Individual provider Active NPI

Emanuel Martin Maida, M.D.

  • Internal Medicine Physician
  • Livingston, NJ
National Provider Identifier
1114920451
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04942800 Issued in NJ
Practice address
209 S Livingston Ave
Ste 7
Livingston, NJ 07039-4042
Phone
(973) 535-6266
Fax
(973) 535-2810
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04942800 NJ Primary

Addresses

Primary practice location

209 S Livingston Ave
Ste 7
Livingston, NJ 07039-4042

Mailing address

209 S Livingston Ave
Ste 7
Livingston, NJ 07039-4042
Phone (973) 535-6266

Other identifiers 1

IdentifierTypeStateIssuer
P00294733OtherNJRAILROAD MEDICARE

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
I20050927001179 NJ Practitioner - Internal Medicine 6103851365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 S Livingston Ave
Suite 7
Livingston, NJ 07039-4042
Phone (973) 535-2734

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04942800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E. Martin Maida, M.D.,PA Internal Medicine CurrentSince May 3, 1993 Accepting new patients

Locations

209 S Livingston Ave
Ste 7
Livingston, NJ 07039
Phone (973) 535-2734

Interoperability endpoints

  • Direct secure messaging: emanuel.maida.1@13535.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1114920451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "STE 7",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394042",
            "telephone_number": "973-535-6266",
            "fax_number": "973-535-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "STE 7",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394042",
            "telephone_number": "973-535-6266",
            "fax_number": "973-535-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDA",
        "first_name": "EMANUEL",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04942800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00294733",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.