Maura E Pedroso LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07746600 Issued in NJ

Legal business name

MAURA E PEDROSO LLC

Practice address

400 38TH St Ste 301
Union City, NJ 07087-4848

Phone

(201) 884-1005

Fax

(551) 226-6488

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Pedroso E Maura, M.D

Title

President

Phone

(917) 407-7346

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maura E. Pedroso, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1033154141

  Internal Medicine, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1932404100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 38TH ST STE 301",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874848",
            "telephone_number": "201-884-1005",
            "fax_number": "551-226-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 38TH ST STE 301",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874848",
            "telephone_number": "201-884-1005",
            "fax_number": "551-226-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURA E PEDROSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MAURA",
        "authorized_official_first_name": "PEDROSO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-407-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07746600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07746600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angienet Martinez
• Theresa Martinez, MS ED
• Sarai Gidel Mata, MAC
• Melvin Mathew, MD
• Milagros Matos, LPN
• Edith Rodhe Mayta, RN
• Raul Lucio Mazon, PHARMACIST
• Kevin Joseph McDonough, M.D.
• Noah McNamee
• Medical Arts Clinic PA

• Psychiatry Physician in Union City, NJ
• Providers in Union City, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.