Individual provider Active NPI

Maria J Tejada, ADVANCED PRACTICE RN

  • Gerontology Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1437756954
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01055100 Issued in NJ
Practice address
1163 Route 37 W Ste D4
Toms River, NJ 08755-4975
Phone
(732) 341-9494
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 26NJ01055100 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ01055100 NJ Primary

Addresses

Primary practice location

1163 Route 37 W Ste D4
Toms River, NJ 08755-4975

Mailing address

17 Kim LN
Toms River, NJ 08755-6376
Phone (848) 448-1067

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
I20221017001693 NJ Practitioner - Nurse Practitioner 1759757776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

1251 Rte 37
Suite 200
Toms River, NJ 08755-5050
Phone (732) 341-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01055100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Espineli Medical Associates PC Single Specialty CurrentSince Oct 18, 2022 Accepting new patients
Rwjbh Primary Care Services Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

1163 Route 37 W
Ste D4
Toms River, NJ 08755
Phone (732) 341-9494

1251 Route 37 W
Ste 200
Toms River, NJ 08755
Phone (732) 341-2211

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: mtejada364534@epicdirect.rwjbh.org

Organizations & group practices 2

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 2

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1437756954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KIM LN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556376",
            "telephone_number": "848-448-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W STE D4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554975",
            "telephone_number": "732-341-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "ADVANCED PRACTICE RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01055100",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01055100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.