Individual provider Active NPI

Maria G Master

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1538329396
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
255715 Issued in NY
Practice address
40 Hamilton Ave
Wayne, NJ 07470-3059
Phone
(201) 618-3035
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 255715 NY
Psychiatry Physician 2084P0800X 255715 NY Primary

Addresses

Primary practice location

40 Hamilton Ave
Wayne, NJ 07470-3059

Mailing address

159 8TH St
Hoboken, NJ 07030-4142
Phone (201) 619-3035

Other practice location 1

159 8th St
Hoboken, NJ 07030-4142
Phone (201) 619-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241205000442 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 5092958546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1538329396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 8TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304142",
            "telephone_number": "201-619-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HAMILTON AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703059",
            "telephone_number": "201-618-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 8th St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070304142",
            "country_code": "US",
            "telephone_number": "201-619-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTER",
        "first_name": "MARIA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "255715",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "255715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.