Active NPI
Maria Runyon
- Health & Wellness Coach
- Brick, NJ
National Provider Identifier
1518674241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 251484204
- Practice address
- 5 S Sailors Quay Dr
Brick, NJ 08723-6281 - Phone
- (551) 444-2446
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 251484204 | NJ | Primary |
Addresses
Primary practice location
5 S Sailors Quay Dr
Brick, NJ 08723-6281
Mailing address
5 S Sailors Quay Dr
Brick, NJ 08723-6281
Phone (551) 444-2446
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.integrativeskinhealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251484204 | NJ | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1518674241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 S SAILORS QUAY DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236281",
"telephone_number": "551-444-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S SAILORS QUAY DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236281",
"telephone_number": "551-444-2446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYON",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NJ",
"license": "251484204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.integrativeskinhealth.com",
"affiliation": "N",
"address_1": "5 S Sailors Quay Dr",
"city": "Brick",
"state": "NJ",
"country_code": "US",
"postal_code": "087236281",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.