Active NPI
Mary Nigro, M.D.
- General Practice Physician
- Berlin, NJ
National Provider Identifier
1255311379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MA 45837
- Practice address
- 100 Townsend Ave
Berlin, NJ 08009-9011 - Phone
- (856) 322-3000
- NPI assigned
- Jan 17, 2006
- Last updated
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MA 45837 | NJ | Primary |
Addresses
Primary practice location
100 Townsend Ave
Berlin, NJ 08009-9011
Mailing address
36 Petticoat Bridge Rd
Columbus, NJ 08022-1400
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 |
|---|---|---|---|
| MA 45837 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1255311379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 PETTICOAT BRIDGE RD",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "080221400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOWNSEND AVE",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099011",
"telephone_number": "856-322-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGRO",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "MA 45837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, NJ
- Stephanie Lucia Natera, LCSW
- Richard Nazer, DDS
- Neil H. Dorfman, MD
- Jessica Nelson
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 02683)
- Oaks Integrated Care, Inc
- Oaks Integrated Care, Inc.
- Oaks Integrated Care, Inc.
- Ocean Healthcare PCP-Camden LLC (Taylor Care Adult Behavioral Health at Berlin)
- Ocean Healthcare PCP-Camden LLC (Taylor Care Adult Behavioral Health at Berlin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.