Individual provider Active NPI

Maria G Katsoulis-Emnace, M.D.

  • Pediatrics Physician
  • Brick, NJ
National Provider Identifier
1699748848
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06779100 Issued in NJ
Practice address
525 Route 70 Ste 1C
Brick, NJ 08723-4022
Phone
(732) 279-6537
Fax
(732) 458-6356
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06779100 NJ Primary

Addresses

Primary practice location

525 Route 70 Ste 1C
Brick, NJ 08723-4022

Mailing address

495 Jack Martin Blvd
Brick, NJ 08724-7778
Phone (732) 458-5300

Other practice location 1

34 Manchester Ave Ste 201
Forked River, NJ 08731-1366
Phone (609) 242-5041

Other practice location 2

495 Jack Martin Blvd
Brick, NJ 08724-7778
Phone (732) 458-5300

Other practice location 3

1314 Hooper Ave
Toms River, NJ 08753-2586
Phone (732) 286-3600

Other identifiers 5

IdentifierTypeStateIssuer
P1018643OtherNJOXFORD
7807708MedicaidNJ
223360408-022OtherNJQUALCARE
2697111OtherNJGHI
1K1945OtherNJHEALTHNET

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260105003427 NJ Practitioner - Pediatric Medicine 1456440197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

331 Newman Springs Rd
Red Bank, NJ 07701-5688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06779100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Pediatrics CurrentSince Jan 19, 2026 Accepting new patients
Shore Health Group, PC Pediatrics Past Accepting new patients
Dr JM LLC PastSince Dec 28, 2025 Accepting new patients

Locations

525 Route 70
Ste 1C
Brick, NJ 08723
Phone (732) 279-6537

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

34 Manchester Ave
Ste 201
Forked River, NJ 08731
Phone (609) 242-5041

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1314 Hooper Ave
Ste 2C
Toms River, NJ 08753

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1699748848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 STE 1C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234022",
            "telephone_number": "732-279-6537",
            "fax_number": "732-458-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Manchester Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Forked River",
            "state": "NJ",
            "postal_code": "087311366",
            "country_code": "US",
            "telephone_number": "609-242-5041",
            "fax_number": "609-489-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Jack Martin Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247778",
            "country_code": "US",
            "telephone_number": "732-458-5300",
            "fax_number": "732-458-6356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Hooper Ave",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532586",
            "country_code": "US",
            "telephone_number": "732-286-3600",
            "fax_number": "732-286-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSOULIS-EMNACE",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06779100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1018643",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7807708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "223360408-022",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2697111",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K1945",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.