Individual provider Active NPI

Mary Jane Elizabeth Maser, PHD, APRN, BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Red Bank, NJ
National Provider Identifier
1356434757
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
26NC08121700 Issued in NJ
Practice address
214 Broad St
# 2
Red Bank, NJ 07701-2026
Phone
(732) 741-4777
Fax
(732) 741-3585
NPI assigned
Sep 30, 2006
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 26NC08121700 NJ Primary

Addresses

Primary practice location

214 Broad St
# 2
Red Bank, NJ 07701-2026

Mailing address

214 Broad St
# 2
Red Bank, NJ 07701-2026
Phone (732) 741-4777

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
I20140528000660 NJ Practitioner - Nurse Practitioner 9234168493 Practice locations: Red Bank, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Broad St
Suite 2
Red Bank, NJ 07701-2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26NC08121700NJMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1356434757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BROAD ST",
            "address_2": "# 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012026",
            "telephone_number": "732-741-4777",
            "fax_number": "732-741-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BROAD ST",
            "address_2": "# 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012026",
            "telephone_number": "732-741-4777",
            "fax_number": "732-741-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASER",
        "first_name": "MARY JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC08121700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.