Individual provider Active NPI

Mario Maffei, M.D

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1518956283
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06621300 Issued in NJ
Practice address
2225 E Evesham Rd
Suite 101
Voorhees, NJ 08043-1557
Phone
(856) 795-4330
Fax
(856) 325-3704
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06621300 NJ Primary

Addresses

Primary practice location

2225 E Evesham Rd
Suite 101
Voorhees, NJ 08043-1557

Mailing address

7000 Atrium Way
Suite 6
Mount Laurel, NJ 08054
Phone (856) 291-6818

Other identifiers 1

IdentifierTypeStateIssuer
7924704MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmaffei13540@directvirtua.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000228 NJ Practitioner - Family Practice 8628064235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

2225 E Evesham Rd
Voorhees, NJ 08043-1557

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Virtua Medical Group, PA Family Medicine Current Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

542 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-3393

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

2225 E Evesham Rd
Ste 101
Voorhees, NJ 08043
Phone (856) 325-3700

200 Bowman Dr
Voorhees, NJ 08043
Phone (267) 425-5400

2225 E Evesham Rd
Ste 101A
Voorhees, NJ 08043
Phone (856) 795-4330

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 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1518956283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E EVESHAM RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431557",
            "telephone_number": "856-795-4330",
            "fax_number": "856-325-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFEI",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06621300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7924704",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmaffei13540@directvirtua.org",
            "affiliation": "N",
            "address_1": "2225 E Evesham Rd",
            "address_2": "Suite 101",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.