Individual provider Active NPI

Maya Mann, PA-C

  • Internal Medicine Physician
  • Ewing, NJ
National Provider Identifier
1295167807
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MP00314700 Issued in NJ
Practice address
1539 Pennington Rd
Ewing, NJ 08618-1301
Phone
(609) 883-4124
Fax
(609) 883-0031
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MP00314700 NJ Primary

Addresses

Primary practice location

1539 Pennington Rd
Ewing, NJ 08618-1301

Mailing address

1539 Pennington Rd
Ewing, NJ 08618-1301
Phone (609) 883-4124

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000522 NJ Practitioner - Physician Assistant 1153564406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221

1539 Pennington Rd
Ewing, NJ 08618-1301
Phone (609) 883-4124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Oct 9, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

1539 Pennington Rd
Ewing, NJ 08618
Phone (609) 883-4124

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1295167807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181301",
            "telephone_number": "609-883-4124",
            "fax_number": "609-883-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181301",
            "telephone_number": "609-883-4124",
            "fax_number": "609-883-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MAYA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MP00314700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.