Individual provider Active NPI

Joy Maulik, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1508226713
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182120 Issued in MD
Practice address
1111 Mount Hermon Rd Ste a
Salisbury, MD 21804-5109
Phone
(410) 546-6650
Fax
(410) 546-2656
NPI assigned
Mar 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R182120 MD Primary

Addresses

Primary practice location

1111 Mount Hermon Rd Ste a
Salisbury, MD 21804-5109

Mailing address

25 Crossroads Dr Ste 306
Owings Mills, MD 21117-5437
Phone (443) 738-2872

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160419000153 MD Practitioner - Nurse Practitioner 6901104363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1111 Mount Hermon Rd
A
Salisbury, MD 21804-5109
Phone (410) 546-2133

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

314 Franklin Ave
Suite 302
Berlin, MD 21811-1238
Phone (410) 641-3735

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC CurrentSince Aug 1, 2018 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Aug 1, 2018 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients

Locations

314 Franklin Ave
Ste 302
Berlin, MD 21811
Phone (410) 641-0430

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1111 Mount Hermon Rd
Ste A
Salisbury, MD 21804
Phone (410) 546-2133

1111 Mount Hermon Rd
Salisbury, MD 21804
Phone (410) 543-0446

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

Interoperability endpoints

  • Direct secure messaging: joymaulik@tsicua.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1508226713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437",
            "telephone_number": "443-738-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MOUNT HERMON RD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045109",
            "telephone_number": "410-546-6650",
            "fax_number": "410-546-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULIK",
        "first_name": "JOY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.