Individual provider Active NPI

Maggie Estelle Dock, MA, DRCC

  • School Counselor
  • Rockaway, NJ
National Provider Identifier
1508160722
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
644309 Issued in NJ
Practice address
1 Bank St
Suite 207
Rockaway, NJ 07866-3430
Phone
(800) 927-5108
Fax
(800) 927-5108
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 835 NJ
School Counselor 101YS0200X 644309 NJ Primary

Addresses

Primary practice location

1 Bank St
Suite 207
Rockaway, NJ 07866-3430

Mailing address

1 Bank St
Suite 207
Rockaway, NJ 07866-3430
Phone (800) 927-5108

Other names 1

  • Maggie Estelle Shaver-Dock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
835NJMDCounselor
644309NJMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1508160722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 207",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663430",
            "telephone_number": "800-927-5108",
            "fax_number": "800-927-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 207",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663430",
            "telephone_number": "800-927-5108",
            "fax_number": "800-927-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCK",
        "first_name": "MAGGIE",
        "middle_name": "ESTELLE",
        "credential": "MA, DRCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "835",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": "644309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "SHAVER-DOCK",
            "middle_name": "ESTELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.