Maria V Pantano DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08264900 Issued in NJ

Legal business name

MARIA V PANTANO DO

Practice address

277 Hackensack St
Wood Ridge, NJ 07075-1206

Phone

(201) 438-5500

Fax

(201) 438-3363

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maria V Pantano, D.O.NPI 1841405008

Title

Member/Manager

Phone

(201) 438-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Vita Pantano, DO

  • Family Medicine Physician
  • Wood Ridge, NJ
  • NPI 1841405008
  Medicare reassignment NPD Authorized official
• Nicholas T Pecorelli, M.D.

  • Internal Medicine Physician
  • Wood-Ridge, NJ
  • NPI 1699744755
  NPD

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1376838532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HACKENSACK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751206",
            "telephone_number": "201-438-5500",
            "fax_number": "201-438-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HACKENSACK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751206",
            "telephone_number": "201-438-5500",
            "fax_number": "201-438-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA V PANTANO DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "PANTANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "201-438-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08264900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lucianna
• Maciag and Tawadros
• Maciag and Tawadros
• Aylin Mahmut, PT
• Brian Manalo
• Kevin Joseph Matawa, MA, LPC
• Venus McGee
• Joy McLean, COTA
• Meadowlands Diagnostics LLC
• Jayna Mehta, PHARM.D., RPH

• Family Medicine Physician in Wood Ridge, NJ
• Providers in Wood Ridge, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.