Individual provider Active NPI

Maria F Clemente, MD

  • Specialist
  • Hazlet, NJ
National Provider Identifier
1932141108
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA59846 Issued in NJ
Practice address
82 Bethany Rd
Hazlet, NJ 07730-1458
Phone
(732) 264-3937
Fax
(732) 264-1311
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA59846 NJ Primary

Addresses

Primary practice location

82 Bethany Rd
Hazlet, NJ 07730-1458

Mailing address

82 Bethany Rd
Hazlet, NJ 07730-1458
Phone (732) 264-3937

Other identifiers 1

IdentifierTypeStateIssuer
6031501MedicaidNJ

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
I20040816000095 NJ Practitioner - Ophthalmology 6002889458 Reassigns benefits to 1 organization
Practice locations: Morgantown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

82 Bethany Rd
Hazlet, NJ 07730-1459
Phone (732) 264-3937

82 Bethany Rd
Suite 6
Hazlet, NJ 07730-1458

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as individual
Quality
80.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59846NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Ear Nose and Throat Institute, Inc. Specialist CurrentSince Jan 1, 2000 Accepting new patients

Locations

117 Highway 35
Eatontown, NJ 07724
Phone (732) 389-0266

82 Bethany Rd
Hazlet, NJ 07730
Phone (732) 264-3937

82 Bethany Rd
Ste 4
Hazlet, NJ 07730
Phone (732) 264-3937

82 Bethany Rd
Ste 6
Hazlet, NJ 07730
Phone (732) 264-3937

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1932141108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BETHANY RD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301458",
            "telephone_number": "732-264-3937",
            "fax_number": "732-264-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BETHANY RD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301458",
            "telephone_number": "732-264-3937",
            "fax_number": "732-264-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "MARIA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA59846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6031501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.