Individual provider Active NPI

Martin Mayer, M.D.

  • Psychiatry Physician
  • Colonia, NJ
National Provider Identifier
1831252006
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA0033324 Issued in NJ
Practice address
1503 St. Georges Ave.
Suite 105
Colonia, NJ 07067-3427
Phone
(732) 382-1300
Fax
(732) 382-4045
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA0033324 NJ Primary

Addresses

Primary practice location

1503 St. Georges Ave.
Suite 105
Colonia, NJ 07067-3427

Mailing address

1503 St. Georges Ave.
Suite 105
Colonia, NJ 07067-3427
Phone (732) 382-1300

Other identifiers 2

IdentifierTypeStateIssuer
0446602-01MedicaidNJ
MA0033324OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA0033324NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mayer and Associates Psychiatry PastSince Jan 1, 1989 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1831252006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 ST. GEORGES AVE.",
            "address_2": "SUITE 105",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-382-1300",
            "fax_number": "732-382-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ST. GEORGES AVE.",
            "address_2": "SUITE 105",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-382-1300",
            "fax_number": "732-382-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA0033324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446602-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA0033324",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

Verify at the official NPI Registry.