Active NPI
Maureen Hanrahan, MD
- Family Medicine Physician
- Marlton, NJ
National Provider Identifier
1184635930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04851500
- Practice address
- 435 Liberty LN
Marlton, NJ 08053-5344 - Phone
- (856) 985-3406
- Fax
- (856) 988-8835
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA04851500 | NJ | Primary |
Addresses
Primary practice location
435 Liberty LN
Marlton, NJ 08053-5344
Mailing address
435 Liberty LN
Marlton, NJ 08053-5344
Phone (856) 985-3406
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04851500 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1184635930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 LIBERTY LN",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080535344",
"telephone_number": "856-985-3406",
"fax_number": "856-988-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 LIBERTY LN",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080535344",
"telephone_number": "856-985-3406",
"fax_number": "856-988-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANRAHAN",
"first_name": "MAUREEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA04851500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.