E. Martin Maida, M.D.,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04942800 Issued in NJ

Legal business name

E. MARTIN MAIDA, M.D.,PA

Practice address

209 S Livingston Ave
Suite 7
Livingston, NJ 07039-4044

Phone

(973) 535-6266

Fax

(973) 535-2810

NPI assigned

Sep 25, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela F Maida

Title

Secretary

Phone

(973) 535-2734

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emanuel Martin Maida, M.D.

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1114920451
  Medicare reassignment NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1609062512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "SUITE 7",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-535-6266",
            "fax_number": "973-535-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "SUITE 7",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-535-6266",
            "fax_number": "973-535-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. MARTIN MAIDA, M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MAIDA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "973-535-2734"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04942800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.