Maria Theresa Mamauag

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

694435 Issued in NY

Practice address

143 Van Reipen Ave
Jersey City, NJ 07306-3937

Phone

(201) 932-5117

NPI assigned

May 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1144676131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 VAN REIPEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063937",
            "telephone_number": "201-932-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 VAN REIPEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063937",
            "telephone_number": "201-932-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMAUAG",
        "first_name": "MARIA THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "694435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malla Practitioner Network, LLC
• Malla Ventures, Inc.
• Kathryn Malone, LCSW
• Nicholas Anthony Maltese, DPT
• Barry A. Maltzman, M.D.
• Suzana Mamo, DMD
• Manatee Mental Heath Care, a Professional Corporation
• Jessymol V Manchery, NP-FAMILY
• Sarah Mandel, RD
• Elizabeth Mandell

• Registered Nurse in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.