Individual provider Active NPI

Maryellen L Hanley, MD

  • Specialist
  • Morristown, NJ
National Provider Identifier
1255446183
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05844200 Issued in NJ
Practice address
95 Madison Avenue
Suite 203
Morristown, NJ 07960-1905
Phone
(973) 971-7080
Fax
(973) 290-8312
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05844300 NJ
Specialist 174400000X 25MA05844200 NJ Primary

Addresses

Primary practice location

95 Madison Avenue
Suite 203
Morristown, NJ 07960-1905

Mailing address

P.O. Box 416524
Boston, MA 02241-6524
Phone (973) 971-7080

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
I20110725000408 NJ Practitioner - Obstetrics/Gynecology 0143498840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternal Fetal Medicine of Practice Associates, PAGroup PAC ID 6608813860, 12 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05844200NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Jul 25, 2022 Accepting new patients
Saint Peter'S University Hospital CurrentSince Jul 25, 2022 Accepting new patients
Saint Peter'S University Hospital CurrentSince Jul 25, 2022 Accepting new patients
Practice Associates,Inc Past Accepting new patients
Specialty Care of Practice Associates,PA Specialist Past Accepting new patients

Locations

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

666 Plainsboro Rd
Ste 316
Plainsboro, NJ 08536
Phone (609) 716-6161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1255446183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 416524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416524",
            "telephone_number": "973-971-7080",
            "fax_number": "973-290-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVENUE",
            "address_2": "SUITE 203",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079601905",
            "telephone_number": "973-971-7080",
            "fax_number": "973-290-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "MARYELLEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05844300",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05844200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.