Active NPI
Gregory S Maslow, MD
- Orthopaedic Surgery Physician
- Woodbury, NJ
National Provider Identifier
1174549950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29363
- Practice address
- 1007 Mantua Pike
Second Floor
Woodbury, NJ 08096 - Phone
- (856) 845-4601
- Fax
- (856) 848-5751
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29363 | NJ | Primary |
Addresses
Primary practice location
1007 Mantua Pike
Second Floor
Woodbury, NJ 08096
Mailing address
1007 Mantua Pike
Second Floor
Woodbury, NJ 08096
Phone (856) 845-4601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007935300 | Other | AMERIHEALTH | |
| 2893703 | Medicaid | NJ | |
| 0030252 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29363 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic of South Jersey | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Woodbury, NJ
- NPI 1750426151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1174549950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 MANTUA PIKE",
"address_2": "SECOND FLOOR",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-845-4601",
"fax_number": "856-848-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 MANTUA PIKE",
"address_2": "SECOND FLOOR",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-845-4601",
"fax_number": "856-848-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASLOW",
"first_name": "GREGORY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "29363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "007935300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2893703",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0030252",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.