Individual provider Active NPI

Maurizio Cervone, D.O.

  • Family Medicine Physician
  • Morris Plains, NJ
National Provider Identifier
1174653331
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB55987 Issued in NJ
Practice address
891 Tabor Rd
Morris Plains, NJ 07950-2733
Phone
(973) 359-8859
Fax
(973) 359-8860
NPI assigned
Mar 6, 2007
Last updated
Oct 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB55987 NJ Primary

Addresses

Primary practice location

891 Tabor Rd
Morris Plains, NJ 07950-2733

Mailing address

243 Old Beach Glen Rd
Rockaway, NJ 07866-1320
Phone (201) 230-9662

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
I20090320000019 NJ Practitioner - Family Practice 0840357737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

891 Tabor Rd
Morris Plains, NJ 07950-2733
Phone (973) 359-8859

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB55987NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Route 53 Medical Associates, LLC Family Medicine CurrentSince Mar 19, 2009 Accepting new patients

Locations

891 Tabor Rd
Morris Plains, NJ 07950
Phone (973) 359-8859

891 Tabor Rd
Ste A
Morris Plains, NJ 07950
Phone (973) 359-8859

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1174653331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 OLD BEACH GLEN RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661320",
            "telephone_number": "201-230-9662",
            "fax_number": "973-586-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 TABOR RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502733",
            "telephone_number": "973-359-8859",
            "fax_number": "973-359-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVONE",
        "first_name": "MAURIZIO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB55987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

Verify at the official NPI Registry.