Individual provider Active NPI

Deanna Renee Maiorino, RN

  • Psychiatric/Mental Health Registered Nurse
  • Princeton, NJ
National Provider Identifier
1700589678
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NR20235400 Issued in NJ
Practice address
12 Roszel Rd Ste A103
Princeton, NJ 08540-6234
Phone
(609) 419-0123
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR20235400 NJ Primary

Addresses

Primary practice location

12 Roszel Rd Ste A103
Princeton, NJ 08540-6234

Mailing address

12 Roszel Rd Ste A103
Princeton, NJ 08540-6234
Phone (609) 419-0123

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610002852 NJ Practitioner - Nurse Practitioner 7517409212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians
Freehold Psychiatric AssociatesGroup PAC ID 6406037324, 6 clinicians

Practice addresses (Care Compare)

79 Hall Rd
Chatham, NJ 07928-1754
Phone (855) 444-7258

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR20235400NJMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Freehold Psychiatric Associates CurrentSince Jun 12, 2025 Accepting new patients
Lavender New Jersey Psychiatric Nurse Practitioner PC CurrentSince Jun 23, 2026 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC CurrentSince Apr 9, 2024 Accepting new patients
Bloombridge Psychiatry Current Accepting new patients

Locations

971 US Highway 202 N
#8057
Branchburg, NJ 08876

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

Interoperability endpoints

  • Direct secure messaging: dmaiorino549810@direct.ahsys.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1700589678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROSZEL RD STE A103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406234",
            "telephone_number": "609-419-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROSZEL RD STE A103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406234",
            "telephone_number": "609-419-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORINO",
        "first_name": "DEANNA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR20235400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.