Individual provider Active NPI

Ann L. Maroulis, MSN NP

  • Acute Care Nurse Practitioner
  • Sea Girt, NJ
National Provider Identifier
1285617753
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NN04838000 Issued in NJ
Practice address
2130 Highway 35
321C
Sea Girt, NJ 08750-1010
Phone
(732) 974-6700
Fax
(732) 974-6707
NPI assigned
Nov 29, 2005
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NN04838000 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 26NN04838000 NJ

Addresses

Primary practice location

2130 Highway 35
321C
Sea Girt, NJ 08750-1010

Mailing address

2130 Highway 35
321C
Sea Girt, NJ 08750-1010
Phone (732) 974-6700

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jay H Stone MD PA PastSince Oct 1, 2001 Accepting new patients
NP Care of NJ, LLC Past Accepting new patients
Dale E. Edlin, MD, LLC Past Accepting new patients
Change of Heart Cardiology, LLC PastSince Aug 1, 2022 Accepting new patients
Spine & Sports Medicine of Toms River, LLC PastSince Jul 28, 2018 Accepting new patients

Organizations & group practices 5

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1285617753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "321C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-974-6700",
            "fax_number": "732-974-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "321C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-974-6700",
            "fax_number": "732-974-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROULIS",
        "first_name": "ANN",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MSN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NN04838000",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN04838000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.