Active NPI
Ian B Maitin, MD
- Physical Medicine & Rehabilitation Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MA05556000
- Practice address
- 42 E Laurel Rd Ste 1700
Stratford, NJ 08084-1354 - Phone
- (856) 566-7010
- Fax
- (856) 566-6956
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA05556000 | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd Ste 1700
Stratford, NJ 08084-1354
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 566-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014118890001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | imaitin265681@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Jefferson Medical College of Thomas Jefferson University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1474 Tanyard Rd
Sewell, NJ 08080-4222
3242 Route 206
Bordentown, NJ 08505-4517
42 E Laurel Rd
Stratford, NJ 08084-1354
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Past | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
42 E Laurel Rd
Ste 1700
Stratford, NJ 08084
Phone (856) 482-9000
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3401 N Broad St
Bsmt Rock
Philadelphia, PA 19140
Phone (215) 707-3646
7604 Central Ave
Ste 100
Philadelphia, PA 19111
Phone (215) 214-6655
2450 W Hunting Park Ave
Fl 2
Philadelphia, PA 19129
Phone (215) 926-9019
Interoperability endpoints
- imaitin265681@directvirtua.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Urgent Care Clinic/Center
- Haddon Township, NJ
- NPI 1932659778
-
- Advanced Practice Midwife
- Philadelphia, PA
- NPI 1497238448
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1285116228
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1871581991
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1306834502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-566-7010",
"fax_number": "856-566-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 1700",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-7010",
"fax_number": "856-566-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITIN",
"first_name": "IAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA05556000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014118890001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "imaitin265681@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 1700",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.