Individual provider Active NPI

Maggie Vitcavich, APN

  • Family Nurse Practitioner
  • Mount Arlington, NJ
National Provider Identifier
1356016570
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01187900 Issued in NJ
Practice address
400 Valley Rd Ste 105
Mount Arlington, NJ 07856-2316
Phone
(973) 770-7101
Fax
(973) 770-7108
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01187900 NJ Primary

Addresses

Primary practice location

400 Valley Rd Ste 105
Mount Arlington, NJ 07856-2316

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other names 1

  • Maggie Mowbray Former name

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
I20210831000274 NJ Practitioner - Nurse Practitioner 1759787765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

1825 Route 23
Wayne, NJ 07470-7526
Phone (973) 633-1484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Sep 1, 2021 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2021 Accepting new patients
Gastroenterology Associates of New Jersey, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

16 Pocono Rd
Ste 103
Denville, NJ 07834
Phone (973) 204-5042

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

400 Valley Rd
Ste 105
Mt Arlington, NJ 07856
Phone (973) 770-0472

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

1825 State Route 23
Wayne, NJ 07470
Phone (973) 633-1480

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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.

Hospital & facility affiliations 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1356016570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VALLEY RD STE 105",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562316",
            "telephone_number": "973-770-7101",
            "fax_number": "973-770-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITCAVICH",
        "first_name": "MAGGIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01187900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "MOWBRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Arlington, NJ

Sources for this page

Verify at the official NPI Registry.