Individual provider Active NPI

Mae Lorraine Ercilla Carugda, APRN

  • Gerontology Nurse Practitioner
  • New Milford, NJ
National Provider Identifier
1497563589
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15235700 Issued in NJ
Practice address
332 Grove St
New Milford, NJ 07646-1823
Phone
(908) 727-2434
NPI assigned
Dec 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15235700 NJ Primary

Addresses

Primary practice location

332 Grove St
New Milford, NJ 07646-1823

Mailing address

332 Grove St
New Milford, NJ 07646-1823
Phone (908) 727-2434

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
I20250225002614 NJ Practitioner - Nurse Practitioner 3779003470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Hypertension and Renal AssocGroup PAC ID 0749249720, 7 clinicians

Practice addresses (Care Compare)

1 Kalisa Way
Suite 210
Paramus, NJ 07652-3538
Phone (201) 447-0013

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Hypertension & Renal Assoc CurrentSince Feb 17, 2025 Accepting new patients

Locations

1 Kalisa Way
Ste 210
Paramus, NJ 07652
Phone (201) 447-0013

Organizations & group practices 1

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 3

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": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1497563589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 GROVE ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461823",
            "telephone_number": "908-727-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 GROVE ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461823",
            "telephone_number": "908-727-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUGDA",
        "first_name": "MAE LORRAINE",
        "middle_name": "ERCILLA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15235700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.