Individual provider Active NPI

Maryallyson Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Pottstown, PA
National Provider Identifier
1932168192
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-068485-L Issued in PA
Practice address
1610 Medical Dr Ste 105
Pottstown, PA 19464-3279
Phone
(484) 925-0500
Fax
(610) 432-0545
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-068485-L PA Primary

Addresses

Primary practice location

1610 Medical Dr Ste 105
Pottstown, PA 19464-3279

Mailing address

PO Box 1109
Oaks, PA 19456-1109
Phone (610) 482-4778

Other identifiers 7

IdentifierTypeStateIssuer
507297OtherPAHIGHMARK BLUE SHIELD
0017521440009MedicaidPA
0264802000OtherPAPERSONAL CHOICE
3942507OtherPAAETNA
0264802000OtherPAKEYSTONE HEALTH PLAN EAST
30022539OtherPAKEYSTONE MERCY
G93641OtherPAUPIN

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
I20200319001755 NJ Practitioner - Obstetrics/Gynecology 6002866555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of New Jersey PAGroup PAC ID 8820247844, 15 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7493

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-068485-LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
DHP of New Jersey PA Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Jefferson University Physicians Obstetrics & Gynecology Past Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maryallyson.brown.p1@direct.nhscnj.nextgenshare.com

Organizations & group practices 7

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1932168192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194561109",
            "telephone_number": "610-482-4778",
            "fax_number": "610-666-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 105",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643279",
            "telephone_number": "484-925-0500",
            "fax_number": "610-432-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARYALLYSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD-068485-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "507297",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017521440009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0264802000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3942507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0264802000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30022539",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G93641",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.