Individual provider Active NPI

Maria C. Cambria, MD, MS, PA-C

  • Surgical Physician Assistant
  • Summit, NJ
National Provider Identifier
1316227481
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
99 Beauvoir Ave
Summit, NJ 07901
Phone
(917) 449-8144
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120224000419 NJ Practitioner - Physician Assistant 1052579828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proassist Surgical Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcambria191585@ahs.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00261600 NJ
Surgical Physician Assistant 363AS0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

99 Beauvoir Ave
Summit, NJ 07901

Mailing address

1324 Forest Ave Ste 236
Staten Island, NY 10302-2044
Phone (917) 449-8144

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL summitsurgicalassistants.com Direct
Other URL summitsurgicalassistants@gmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2019.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1316227481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE STE 236",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "917-449-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "917-449-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRIA",
        "first_name": "MARIA",
        "middle_name": "C.",
        "credential": "MD, MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00261600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "summitsurgicalassistants.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "219 Main St Unit 1027",
            "city": "Chatham",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079287038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "summitsurgicalassistants@gmail.com",
            "affiliation": "N",
            "address_1": "219 Main St Unit 1027",
            "city": "Chatham",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079287038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.