Individual provider Active NPI

Mary Yee, MD

  • Pediatrics Physician
  • Neptune, NJ
National Provider Identifier
1881628246
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05481300 Issued in NJ
Practice address
444 Neptune Boulevard
Suite 4
Neptune, NJ 07753
Phone
(732) 774-4332
Fax
(732) 774-4077
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05481300 NJ Primary

Addresses

Primary practice location

444 Neptune Boulevard
Suite 4
Neptune, NJ 07753

Mailing address

444 Neptune Boulevard
Suite 4
Neptune, NJ 07753
Phone (732) 774-4332

Other identifiers 2

IdentifierTypeStateIssuer
0934704MedicaidNJ
2626608MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726003454 NJ Practitioner - Pediatric Medicine 4688110547 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05481300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jun 1, 2024 Accepting new patients
Pediatric Associates PA Pediatrics Past Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 234-9364

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

804 W Park Ave
Bldg B
Ocean, NJ 07712
Phone (732) 493-4100

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCFBA
  • Direct secure messaging: mary.yee@nealgittleman.chartmakerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1881628246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BOULEVARD",
            "address_2": "SUITE 4",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-774-4332",
            "fax_number": "732-774-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BOULEVARD",
            "address_2": "SUITE 4",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-774-4332",
            "fax_number": "732-774-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05481300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0934704",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.