NPIMap

Individual provider Active NPI

Maynard Holgado, MD

  • Internal Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1679526396
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06132400 Issued in NJ
Practice address
485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone
(856) 227-6575
Fax
(856) 237-8042
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06132400 NJ Primary

Addresses

Primary practice location

485 Williamstown Rd
Sicklerville, NJ 08081-1777

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
7800207MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000663 NJ Practitioner - Internal Medicine 4486649167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone (856) 237-8100

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Jan 13, 2018 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Cooper Health System Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

485 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 237-8080

485 Williamstown New Freedom Rd
Sicklerville, NJ 08081
Phone (856) 237-8100

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 9

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 11

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1679526396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLIAMSTOWN RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811777",
            "telephone_number": "856-227-6575",
            "fax_number": "856-237-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGADO",
        "first_name": "MAYNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06132400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.