Pauline Andrea Park-Maxwell, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01168800 Issued in NJ

Practice address

1542 Kuser Rd Ste B7
Hamilton, NJ 08619-3829

Phone

(609) 989-9211

Fax

(609) 896-0249

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arc Mercer IncGroup PAC ID 1355571308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Arc Mercer, Inc.

  • Clinic/Center
  • Hamilton, NJ
  • NPI 1518262203

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1831833474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HILLCREST AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182509",
            "telephone_number": "609-233-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KUSER RD STE B7",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193829",
            "telephone_number": "609-989-9211",
            "fax_number": "609-896-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Ewingville Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086382425",
            "country_code": "US",
            "telephone_number": "609-406-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK-MAXWELL",
        "first_name": "PAULINE",
        "middle_name": "ANDREA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01168800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892823",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachna Saurin Parikh, PA-C
• Parivesh LLC
• Byung Park
• Sun Ja Park, MSRD
• Gunjan Parmar
• Parr Enterprises LLC
• Arielle Michelle Parrillo, LMSW

• Family Nurse Practitioner in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.