Maryann Entrekin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4300 Haddonfield Rd Ste 110
Pennsauken, NJ 08109-3376

Phone

(856) 406-0035

NPI assigned

Oct 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bayada Home Health Care, Inc.

  • Community/Behavioral Health Agency
  • Pennsauken, NJ
  • NPI 1316699382
  NPD

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1487436846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD STE 110",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD STE 110",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376",
            "telephone_number": "856-406-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTREKIN",
        "first_name": "MARYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uchenna Joseph Ekeabu, APN, PMHNP-BC
• Elite Transportation of NJ, Inc
• Emsstar LLC
• En Route Medical Transport
• Endowizz, Inc.
• Fidelka Maria Espinal
• Essential Healthcare Solutions LLC
• Evercare Behavioral Health LLC
• Excellent Transcare LLC
• Family Care Associates P a

• Behavior Technician in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.