Individual provider Active NPI

Maria Gemma Williams, FNP

  • Family Nurse Practitioner
  • Mahwah, NJ
National Provider Identifier
1619446572
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00839100 Issued in NJ
Practice address
1400 Macarthur Blvd
Mahwah, NJ 07430-3618
Phone
(973) 706-0238
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00839100 NJ Primary

Addresses

Primary practice location

1400 Macarthur Blvd
Mahwah, NJ 07430-3618

Mailing address

108 Grand St
New Milford, NJ 07646-2626
Phone (201) 394-9970

Other practice location 1

759 Hamburg Tpke
Wayne, NJ 07470-2077
Phone (973) 709-0099

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
I20190408001196 NJ Practitioner - Nurse Practitioner 2567703200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00839100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Mar 8, 2019 Accepting new patients
Valley Physician Services, Ny, PC Past Accepting new patients

Locations

1400 MacArthur Blvd
Mahwah, NJ 07430
Phone (201) 316-8431

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

140 Franklin Tpke
Ste 6A
Waldwick, NJ 07463
Phone (201) 447-3603

1578 Route 23
Ste 100
Wayne, NJ 07470

759 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 709-0099

1578 Route 23
Wayne, NJ 07470
Phone (973) 706-0238

Interoperability endpoints

  • Direct secure messaging: maria.williams.1@5622.direct.athenahealth.com

Organizations & group practices 2

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1619446572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GRAND ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462626",
            "telephone_number": "201-394-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MACARTHUR BLVD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303618",
            "telephone_number": "973-706-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702077",
            "country_code": "US",
            "telephone_number": "973-709-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIA",
        "middle_name": "GEMMA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00839100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.