Organization Active NPI

Maria Auletta MD LLC

  • Family Medicine Physician
  • Manville, NJ
National Provider Identifier
1265784946
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA04155600 Issued in NJ
Legal business name
MARIA AULETTA MD LLC
Practice address
23 25 S. Main St.
Suite 2
Manville, NJ 08835-1801
Phone
(908) 243-0088
Fax
(908) 243-0089
NPI assigned
Oct 5, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Maria AulettaNPI 1497798581
Title
Owner
Phone
(908) 243-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA04155600 NJ Primary

Addresses

Primary practice location

23 25 S. Main St.
Suite 2
Manville, NJ 08835-1801

Mailing address

23 25 S. Main St.
Suite 2
Manville, NJ 08835-1801
Phone (908) 243-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000664 NJ Part B Supplier - Clinic/Group Practice 4284884842 Receives reassigned benefits from 1 practitioner
Practice locations: Manville, NJ

National Provider Directory

National Provider Directory

Locations

23 S Main St
Ste 2
Manville, NJ 08835
Phone (908) 243-0088

25 S Main St
Ste 2
Manville, NJ 08835
Phone (908) 243-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1265784946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 25 S. MAIN ST.",
            "address_2": "SUITE 2",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351801",
            "telephone_number": "908-243-0088",
            "fax_number": "908-243-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 25 S. MAIN ST.",
            "address_2": "SUITE 2",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351801",
            "telephone_number": "908-243-0088",
            "fax_number": "908-243-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA AULETTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "AULETTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-243-0088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA04155600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.