Ciana Tyiesh Hayes Maxwell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08975900 Issued in NJ

Practice address

5045 Route 130 Ste F
Delran, NJ 08075-9707

Phone

(856) 461-1717

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ciana T Hayes Former name

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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
• STC Pediatrics LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Philadelphia, PA
  • NPI 1144864547
  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• STC Pediatrics LLC

  • Pediatric Gastroenterology Physician
  • Philadelphia, PA
  • NPI 1134763535

  Pediatrics

  NPD
• STC Pediatrics LLC

  • Ophthalmology Physician
  • Newtown, PA
  • NPI 1548141997

  Pediatrics

  NPD

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1689836264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 HARBOUR DR",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 ROUTE 130 STE F",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-461-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Marlton Pike E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-528-5370",
            "fax_number": "856-528-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES MAXWELL",
        "first_name": "CIANA",
        "middle_name": "TYIESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT193245",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08975900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIANA",
            "last_name": "HAYES",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Lark Harmon, M.D.
• Angela Duley Harrell, MD
• Samantha Harris, LCSW
• Rita Theresa Harty, MS PA-C
• Nils Haugland
• Healthy Sticks Mobile Phlebotomy
• Herbert C. Conaway, Jr., M.D., L.L.C.
• Jamie Alexandra Herold
• Michael J Hicks, MD
• Romagnia Hill

• Pediatrics Physician in Delran, NJ
• Providers in Delran, 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 7, 2019; 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.