Active NPI
Maryellen L Hanley, MD
- Specialist
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA05844200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05844200 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S Healthcare System Physician Associates | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Morristown, NJ
- NPI 1578613840
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Physician Assistant
- Morristown, NJ
- NPI 1699733907
-
- Specialist
- Morristown, NJ
- NPI 1215985908
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.