Individual provider Active NPI

Mary Howland Williamson, MD

  • Obstetrics & Gynecology Physician
  • Bordentown, NJ
National Provider Identifier
1770102014
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT221474 Issued in PA
Practice address
100 K Johnson Blvd Ste 102
Bordentown, NJ 08505-2275
Phone
(609) 537-7200
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA12314600 NJ
Obstetrics & Gynecology Physician 207V00000X MT221474 PA Primary

Addresses

Primary practice location

100 K Johnson Blvd Ste 102
Bordentown, NJ 08505-2275

Mailing address

100 K Johnson Blvd Ste 102
Bordentown, NJ 08505-2275
Phone (609) 537-7200

Other practice location 1

540 Woodbourne Rd
Langhorne, PA 19047-1835
Phone (215) 750-7771

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Mary.Williamson.1@12833.direct.athenahealth.com Direct
Direct Messaging Address Mary.Williamson.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240814001967 PA Practitioner - Obstetrics/Gynecology 9436556966 Reassigns benefits to 1 organization
I20240814002342 NJ Practitioner - Obstetrics/Gynecology 9436556966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

123 Franklin Corner Rd
Suite 214
Lawrenceville, NJ 08648-2526
Phone (609) 896-1400

540 Woodbourne Rd
Langhorne, PA 19047-1856
Phone (215) 750-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12314600NJMDObstetrics & Gynecology Physician
MT221474PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Obstetrics & Gynecology CurrentSince Aug 19, 2024 Accepting new patients
Women'S Specialists of Bucks County, P.C. Obstetrics & Gynecology PastSince Aug 4, 2024 Accepting new patients

Locations

100 K Johnson Blvd
#102
Bordentown, NJ 08505
Phone (609) 537-7200

6 Earlin Ave
Ste 290
Browns Mills, NJ 08015
Phone (609) 537-7200

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

123 Franklin Corner Rd
Ste 214
Lawrenceville, NJ 08648
Phone (609) 537-7200

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1401 Whitehorse Mercerville Rd
Ste 212
Trenton, NJ 08619
Phone (609) 537-7200

540 Woodbourne Rd
Langhorne, PA 19047
Phone (215) 750-6611

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: mary.williamson.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2126/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 4

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1770102014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD STE 102",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-537-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD STE 102",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-537-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Woodbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471835",
            "country_code": "US",
            "telephone_number": "215-750-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MARY",
        "middle_name": "HOWLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA12314600",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT221474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mary.Williamson.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Woodbourne Rd",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mary.Williamson.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 K Johnson Blvd Ste 102",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.