Individual provider Active NPI

Maria Rocktashel, MSN

  • Women's Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1568517449
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00318900 Issued in NJ
Practice address
425 Jack Martin Blvd
Women'S Imaging Pavilion
Brick, NJ 08724
Phone
(732) 836-4672
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00318900 NJ Primary

Addresses

Primary practice location

425 Jack Martin Blvd
Women'S Imaging Pavilion
Brick, NJ 08724

Mailing address

1715 Main St
Unit 5
Lake Como, NJ 07719
Phone (484) 802-6310

Other names 1

  • Ms. Maria Rocktashel Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000760 NJ Practitioner - Nurse Practitioner 4789667197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
70.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00318900NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives, Inc CurrentSince Nov 14, 2016 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Nov 14, 2016 Accepting new patients
Ocean Health Initiatives Inc Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC PastSince Feb 1, 2012 Accepting new patients
Health Access Network Past Accepting new patients

Locations

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

Interoperability endpoints

  • Direct secure messaging: mrocktashel18129@epicdirect.rwjbh.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1568517449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MAIN ST",
            "address_2": "UNIT 5",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "484-802-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "address_2": "WOMEN'S IMAGING PAVILION",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-836-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKTASHEL",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00318900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ROCKTASHEL",
            "prefix": "MS.",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.