Individual provider Active NPI

Maria Clarise Taguiam

  • Family Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1942998976
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01477100 Issued in NJ
Practice address
1255 Route 70 Ste 12N
Lakewood, NJ 08701-5900
Phone
(732) 942-0888
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01477100 NJ Primary

Addresses

Primary practice location

1255 Route 70 Ste 12N
Lakewood, NJ 08701-5900

Mailing address

1255 Route 70 Ste 12N
Lakewood, NJ 08701-5900
Phone (732) 942-0888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212004078 NJ Practitioner - Nurse Practitioner 2567811896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Medical and Pediatrics Associates,LLCGroup PAC ID 6507807898, 6 clinicians

Practice addresses (Care Compare)

1255 Route 70
Suite 12N
Lakewood, NJ 08701-5900
Phone (732) 942-0888

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Medical and Pediatrics Associates,LLC CurrentSince Nov 5, 2023 Accepting new patients

Locations

1255 Route 70
Ste 12N
Lakewood, NJ 08701
Phone (732) 942-0888

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1942998976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 12N",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-942-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 12N",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-942-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUIAM",
        "first_name": "MARIA",
        "middle_name": "CLARISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01477100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.