Individual provider Active NPI

Maria Vieira Picciano, M.D.

  • Specialist
  • Newark, NJ
National Provider Identifier
1215957246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA56749 Issued in NJ
Practice address
36 Pacific St
Newark, NJ 07105-1665
Phone
(973) 578-4808
Fax
(973) 578-2939
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA56749 NJ Primary

Addresses

Primary practice location

36 Pacific St
Newark, NJ 07105-1665

Mailing address

6 Thayer CT
Florham Park, NJ 07932-1703
Phone (973) 377-2974

Other identifiers 1

IdentifierTypeStateIssuer
5473403MedicaidNJ

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
I20090825000122 NJ Practitioner - Ophthalmology 5890849921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Pacific St
Newark, NJ 07105-1665
Phone (973) 578-4808

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56749NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Picciano, M.D. & Maria Vieira Picciano, M.D., P.C. CurrentSince Jun 16, 2009 Accepting new patients

Locations

36 Pacific St
Newark, NJ 07105
Phone (973) 578-4807

36 Pacific St
Ste 2
Newark, NJ 07105

Interoperability endpoints

  • Direct secure messaging: mpicciano@rmvp.adaptamed.direct-ci.com
  • Direct secure messaging: mpicciano@asad.adaptamed.direct-ci.com
  • Direct secure messaging: mpicciano@assa.adaptamed.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215957246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THAYER CT",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321703",
            "telephone_number": "973-377-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PACIFIC ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051665",
            "telephone_number": "973-578-4808",
            "fax_number": "973-578-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIANO",
        "first_name": "MARIA",
        "middle_name": "VIEIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA56749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5473403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.