Individual provider Active NPI

Mariah Marcickiewicz

  • General Practice Registered Nurse
  • Toms River, NJ
National Provider Identifier
1679090476
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
26NR19508500 Issued in NJ
Practice address
1251 Route 37 W Ste 150
Toms River, NJ 08755-5050
Phone
(732) 747-7077
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR19508500 NJ Primary

Addresses

Primary practice location

1251 Route 37 W Ste 150
Toms River, NJ 08755-5050

Mailing address

655 Shrewsbury Ave Ste 206
Shrewsbury, NJ 07702-4151
Phone (732) 747-7077

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95148062CAMDRegistered Nurse
26NR19508500NJMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1679090476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE STE 206",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024151",
            "telephone_number": "732-747-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 ROUTE 37 W STE 150",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555050",
            "telephone_number": "732-747-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCICKIEWICZ",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR19508500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.