Marykay Maley, R.N., A.P.N. C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25MA08106600 Issued in NJ

Practice address

703 E Main St
Moorestown, NJ 08057-3068

Phone

(856) 235-0290

Fax

(856) 235-0601

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1932143161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573068",
            "telephone_number": "856-235-0290",
            "fax_number": "856-235-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEY",
        "first_name": "MARYKAY",
        "name_prefix": "Ms.",
        "credential": "R.N., A.P.N. C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "25MA08106600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7399600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lynch, PA
• Lisa Lyons
• Katherine Michele Maccariella, PT, DPT
• Desiree Magistrado
• Pauline Magoulas
• Ghina C Maliha, D.M.D.
• Shannon Malloy-Craig
• Sharad Sunder Mansukani, MD
• Andrew Mantone, PA-C
• Jill Marghella, OT

• Family Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, 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 Jul 22, 2011; 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.