NPIMap

Individual provider Active NPI

Maria Vita Pantano, DO

  • Family Medicine Physician
  • Wood Ridge, NJ
National Provider Identifier
1841405008
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00000000000 Issued in NJ
Practice address
245 Valley Blvd
Wood Ridge, NJ 07075
Phone
(201) 438-5500
Fax
(201) 438-3363
NPI assigned
May 11, 2007
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00000000000 NJ Primary

Addresses

Primary practice location

245 Valley Blvd
Wood Ridge, NJ 07075

Mailing address

245 Valley Blvd
Wood Ridge, NJ 07075
Phone (201) 438-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000016 NJ Practitioner - Family Practice 3678651148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

277 Hackensack St
Wood Ridge, NJ 07075-1206
Phone (201) 438-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria V Pantano DO Family Medicine CurrentSince Nov 15, 2011 Accepting new patients
Paramount Medical Group, PC Past Accepting new patients
Nicholas T Pecorelli M D L L C PastSince Jul 1, 1997 Accepting new patients

Locations

245 Valley Blvd
Wood Ridge, NJ 07075
Phone (201) 438-5500

277 Hackensack St
Wood Ridge, NJ 07075
Phone (201) 438-5500

Interoperability endpoints

  • Direct secure messaging: pantano.maria.005.0300143@dnp.meditab.direct-ci.com

Organizations & group practices 3

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 10

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1841405008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 VALLEY BLVD",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "07075",
            "telephone_number": "201-438-5500",
            "fax_number": "201-438-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 VALLEY BLVD",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "07075",
            "telephone_number": "201-438-5500",
            "fax_number": "201-438-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "MARIA",
        "middle_name": "VITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Ridge, NJ

Sources for this page

Verify at the official NPI Registry.