Mario L Maiese, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MB24565 Issued in NJ

Practice address

539 Egg Harbor Rd
Ste 1
Sewell, NJ 08080-2371

Phone

(856) 589-0300

Fax

(856) 589-1753

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• South Jersey Heart Group, PC

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1922090786
  NPD (past)
• South Jersey Radiology Associates P a

  • Diagnostic Radiology Physician
  • Voorhees, NJ
  • NPI 1477551653
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1528050382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD",
            "address_2": "#1 WASHINGTON MEDICAL ARTS BUILDING",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD",
            "address_2": "STE 1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIESE",
        "first_name": "MARIO",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB24565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Kirby Lutz, PA-C
• Waverly Anne Lutz, WHNP, CNM
• Stacey A. Macpaintsil-Ostrom, MSN, APN, PMHNP-BC
• Christopher Macphee
• Colleen Madden, M.A CCC-SLP
• Ivy Maina, MD
• Joanne Marie Mainiero, PHARMD
• Kimberly Mak, LAC
• Lindsay Makrinos, RN BSN FNP-BC
• Neveen Malik, D.O

• Cardiovascular Disease Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.