Individual provider Active NPI

Mary Fitzgerald Switala, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1235788092
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00952200 Issued in NJ
Practice address
401 Hamburg Tpke
Wayne, NJ 07470-2154
Phone
(973) 432-7736
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00952200 NJ Primary

Addresses

Primary practice location

401 Hamburg Tpke
Wayne, NJ 07470-2154

Mailing address

6 Brown Ridge CT
Cedar Grove, NJ 07009-1633
Phone (973) 432-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191002000865 NJ Practitioner - Nurse Practitioner 3577893775 Reassigns benefits to 1 organization
I20200212000608 NY Practitioner - Nurse Practitioner 3577893775 Practice locations: Warwick, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 clinicians

Practice addresses (Care Compare)

401 Hamburg Tpke
Suite 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Behavioral Service, LLC CurrentSince Sep 6, 2019 Accepting new patients

Locations

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

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, 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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1235788092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BROWN RIDGE CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091633",
            "telephone_number": "973-432-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-432-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWITALA",
        "first_name": "MARY",
        "middle_name": "FITZGERALD",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00952200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.