Active NPI
Maryellen Maher
- Pharmacist
- Bergenfield, NJ
National Provider Identifier
1235307679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI21470
- Practice address
- 80 New Bridge Rd
Bergenfield, NJ 07621-4112 - Phone
- (201) 385-6883
- Fax
- (201) 385-3594
- NPI assigned
- Feb 20, 2008
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI21470 | NJ | Primary |
Addresses
Primary practice location
80 New Bridge Rd
Bergenfield, NJ 07621-4112
Mailing address
270 John Ochs Dr
Saddle Brook, NJ 07663-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI21470 | Other | NPPES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI21470 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1235307679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 JOHN OCHS DR",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 NEW BRIDGE RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214112",
"telephone_number": "201-385-6883",
"fax_number": "201-385-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "MARYELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI21470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "RI21470",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.