Individual provider Active NPI

Kathleen A Maher, FNP

  • Family Nurse Practitioner
  • Morris Plains, NJ
National Provider Identifier
1720107774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN06766500 Issued in NJ
Practice address
2932 Route 10 West
Morris Plains, NJ 07950
Phone
(973) 292-6800
Fax
(973) 292-3907
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN06766500 NJ Primary

Addresses

Primary practice location

2932 Route 10 West
Morris Plains, NJ 07950

Mailing address

2932 Route 10 West
Morris Plains, NJ 07950
Phone (973) 292-6800

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
I20171012000430 NJ Practitioner - Nurse Practitioner 6709107493 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN06766500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC CurrentSince Jul 12, 2017 Accepting new patients
Andreas D. Rotsides, MD, LLC CurrentSince Nov 19, 2019 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

195 US Highway 46
Ste 203
Mine Hill, NJ 07803
Phone (973) 328-1040

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720107774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 ROUTE 10 WEST",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-292-6800",
            "fax_number": "973-292-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 ROUTE 10 WEST",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-292-6800",
            "fax_number": "973-292-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN06766500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

Verify at the official NPI Registry.