Individual provider Active NPI

Maria G Pyontek, D.O.

  • Internal Medicine Physician
  • Wall, NJ
National Provider Identifier
1336112390
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB63399 Issued in NJ
Practice address
1725 Hwy 35
Suite B
Wall, NJ 07719-3488
Phone
(732) 681-1063
Fax
(732) 681-2922
NPI assigned
Feb 9, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 MB63399 NJ Primary

Addresses

Primary practice location

1725 Hwy 35
Suite B
Wall, NJ 07719-3488

Mailing address

1725 Hwy 35
Suite B
Wall, NJ 07719-3488
Phone (732) 681-1063

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000675 NJ Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 9335046952 Practice locations: Wall, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Rowan University School of Osteopathic Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1725 Hwy 35
Suite B
Wall, NJ 07719-3488
Phone (732) 681-1063

1725 State Hwy 35
Unit B
Wall, NJ 07719-3488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB63399NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria G. Pyontek, LLC Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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 7

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1336112390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 HWY 35",
            "address_2": "SUITE B",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193488",
            "telephone_number": "732-681-1063",
            "fax_number": "732-681-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 HWY 35",
            "address_2": "SUITE B",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193488",
            "telephone_number": "732-681-1063",
            "fax_number": "732-681-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYONTEK",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB63399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

Verify at the official NPI Registry.