Mary Beth Maciag, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NN06791200 Issued in NJ

Practice address

196 Speedwell Ave
Morristown, NJ 07960-2934

Phone

(973) 539-1364

NPI assigned

Sep 18, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marybeth.maciag.p3@direct.ppncsnj.nextgenshare.com
• Direct secure messaging: marybeth.maciag.p11@direct.ppncsnj.nextgenshare.com

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.

• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.

  • Ambulatory Family Planning Facility
  • Shrewsbury, NJ
  • NPI 1770635260
  NPD (past)

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1932194735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HIGH ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401529",
            "telephone_number": "908-852-2605",
            "fax_number": "908-852-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SPEEDWELL AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602934",
            "telephone_number": "973-539-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAG",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-18",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN06791200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Lyons, A.P.N.
• Lisa Jannicelli Lyons
• M.J. Chiumento Associates LLC
• Eugenia Macchia, LMT
• Lisa Ann Macgray, CMT
• Virginia Macko, NPC
• Theresa Madden, PA
• Madison Avenue Chiropractic Group, P.C.
• Madison Avenue Oral & Maxillofacial Surgery Associates, LLC
• Madison Family Chiropractic Inc (Goldfarb Spinal Aid & Rehabilitation)

• Women's Health Nurse Practitioner in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.