NPIMap

Organization Active NPI

Maryville, Inc.

  • Case Management Agency
  • Voorhees, NJ
National Provider Identifier
1922895804
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARYVILLE, INC.
Practice address
526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone
(856) 227-2717
Fax
(856) 227-6499
NPI assigned
Apr 23, 2025
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Nicole M Bailey
Title
Payer Enrollment Specialist
Phone
(856) 227-2717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205

Mailing address

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone (856) 227-2717

National Provider Directory

National Provider Directory
Tax ID family
Maryville Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1922895804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S BURNT MILL RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432205",
            "telephone_number": "856-227-2717",
            "fax_number": "856-227-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S BURNT MILL RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432205",
            "telephone_number": "856-227-2717",
            "fax_number": "856-227-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PAYER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "856-227-2717"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.