Individual provider Active NPI

Maria Haydon Buttner, APN C

  • Family Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1407968936
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN09916900 Issued in NJ
Practice address
11 Centre Street
Theatre Center
Sparta, NJ 07871
Phone
(866) 389-2727
NPI assigned
Aug 31, 2006
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN099169 NJ
Family Nurse Practitioner 363LF0000X 26NN09916900 NJ Primary

Addresses

Primary practice location

11 Centre Street
Theatre Center
Sparta, NJ 07871

Mailing address

89 Far View Rd
Great Meadows, NJ 07838-2701
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
8574201MedicaidNJ

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
I20080805000606 NJ Practitioner - Nurse Practitioner 6103990429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cunico Enterprises IncGroup PAC ID 8123250487, 6 clinicians

Practice addresses (Care Compare)

12 Lawrence Rd
Suite 201
Newton, NJ 07860-2822
Phone (973) 948-7595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN099169NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cunico Enterprises, Inc. Family CurrentSince Jan 1, 2023 Accepting new patients
North Jersey Integrated Medical PC Family Past Accepting new patients
Somerset Medical Center Past Accepting new patients
Cardiology Associates of Somerset County,P.a. Past Accepting new patients

Locations

12 Lawrence Rd
Ste 201
Newton, NJ 07860
Phone (973) 948-7595

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1407968936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 FAR VIEW RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "078382701",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTRE STREET",
            "address_2": "THEATRE CENTER",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDON BUTTNER",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN099169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN09916900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8574201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.