Active NPI
Nicholas C Maglaras, MD
- Internal Medicine Physician
- Roselle Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05793700
- Practice address
- 236 E Westfield Ave
Roselle Park, NJ 07204 - Phone
- (908) 245-8222
- Fax
- (908) 245-6504
- NPI assigned
- Sep 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MA57937 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA05793700 | NJ | Primary |
Addresses
Primary practice location
236 E Westfield Ave
Roselle Park, NJ 07204
Mailing address
236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone (908) 245-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6125107 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
236 E Westfield Ave
Suite 5
Roselle Park, NJ 07204-2084
Phone (908) 245-8222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05793700 | NJ | MD | Internal Medicine Physician |
| MA57937 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fellowship Village Inc. | Current | Accepting new patients | |
| Fellowship Senior Living, Inc. | Current | Accepting new patients | |
| Nicholas C Maglaras MD LLP | Pulmonary Disease | Current | Accepting new patients |
Locations
8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800
236 E Westfield Ave
Ste 5
Roselle Park, NJ 07204
Phone (908) 245-8222
236 E Westfield Ave
Roselle Park, NJ 07204
Phone (908) 245-8222
236 E Westfield Ave
Ste 203
Roselle Park, NJ 07204
Phone (908) 662-4949
Interoperability endpoints
- https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Roselle Park, NJ
- NPI 1720184591
-
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
-
- Community Based Hospice Care Agency
- Basking Ridge, NJ
- NPI 1386191302
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
Nursing home
-
- General Acute Care Hospital
- Rahway, NJ
- NPI 1861486870
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1336245109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 E WESTFIELD AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072042084",
"telephone_number": "908-245-8222",
"fax_number": "908-245-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 E WESTFIELD AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "07204",
"telephone_number": "908-245-8222",
"fax_number": "908-245-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLARAS",
"first_name": "NICHOLAS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA57937",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05793700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6125107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roselle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.