Maria Theresa Micale, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB06865200 Issued in NJ

Practice address

225 Highway 35 Ste 102
Red Bank, NJ 07701-5919

Phone

(732) 530-5515

Fax

(732) 530-5516

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

Interoperability endpoints

• Direct secure messaging: maria.micale@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• MTM Pediatrics, LLC

  • Pediatrics Physician
  • Wall Township, NJ
  • NPI 1669444204
  NPD Authorized official
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1619949252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "732-530-5515",
            "fax_number": "732-530-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HIGHWAY 35 STE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015919",
            "telephone_number": "732-530-5515",
            "fax_number": "732-530-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Highway 138",
            "address_2": "Building 2, Suite 126",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077199693",
            "country_code": "US",
            "telephone_number": "732-280-6455",
            "fax_number": "732-280-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICALE",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB06865200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Medical Group - Specialty Care, PC
• Phoebe Mervine
• Jason Messinger, PA
• Margaret Reilly Metro, PT
• Jane T Meyer, LPC
• Michael Depaolo, DMD, LLC
• Michael J Bixby DMD, LLC
• Michael J. Arnone, DDS, PA
• Kristin Lyn Michaels
• Carl Louis Michel, RPA-C

• Pediatrics Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.