Pushpam Mary William, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00324000 Issued in NJ

Practice address

719 Route 22 W
North Plainfield, NJ 07060-4924

Phone

(908) 561-4300

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Advance Healthcare LLC

  • Specialist
  • Manalapan, NJ
  • NPI 1326272485
  NPD (past)
• Urgent Health Care LLC

  • Pediatric Infectious Diseases Physician
  • North Plainfield, NJ
  • NPI 1982876223
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1295165777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DELMONICO AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733410",
            "telephone_number": "973-704-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ROUTE 22 W",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604924",
            "telephone_number": "908-561-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "PUSHPAM",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00324000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanguard Medical Supply LLC
• Victory Counseling LLC
• Lisa Jean Wallace, COTA
• George Ian Weinberger, M.D.
• Westend Brook Medical LLC
• Augusto V Wong, DDS
• Rosemary B. Woods, MSW, LCSW
• Valerie Wright, LPC
• Zellier Dialysis LLC

• Pediatric Nurse Practitioner in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.