Individual provider Active NPI

Mariah Mary Carole Davis, PA-C

  • Physician Assistant
  • Trenton, NJ
National Provider Identifier
1669329124
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP01006100 Issued in NJ
Practice address
1301 Whitehorse Mercerville Rd Ste 201
Trenton, NJ 08619-3826
Phone
(609) 585-2200
NPI assigned
Mar 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP01006100 NJ Primary

Addresses

Primary practice location

1301 Whitehorse Mercerville Rd Ste 201
Trenton, NJ 08619-3826

Mailing address

1301 Whitehorse Mercerville Rd Ste 201
Trenton, NJ 08619-3826
Phone (609) 585-2200

Other practice location 1

1613 Princeton Ave
Lawrenceville, NJ 08648-4513
Phone (609) 394-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MP01006100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Medical Care, PA Past Accepting new patients
Ivy Pediatrics, PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1669329124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WHITEHORSE MERCERVILLE RD STE 201",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193826",
            "telephone_number": "609-585-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WHITEHORSE MERCERVILLE RD STE 201",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193826",
            "telephone_number": "609-585-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Princeton Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086484513",
            "country_code": "US",
            "telephone_number": "609-394-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARIAH",
        "middle_name": "MARY CAROLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP01006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.