Maxine Hilary Braham-Willoughby, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

26NR09523600 Issued in NJ

Practice address

151 Knollcroft Rd
Lyons, NJ 07939-5001

Phone

(908) 647-0180

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1952584773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FANNING MILL RD",
            "address_2": "WYNDHAM FARMS",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088863224",
            "telephone_number": "908-859-4844",
            "fax_number": "908-859-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-647-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHAM-WILLOUGHBY",
        "first_name": "MAXINE",
        "middle_name": "HILARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NR09523600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Eileen Binda-Martino, D.D.S
• Shira Blain, LSW
• Ralph Preston Blakney
• Denise Blenhyne, MSN,BSN, RN
• Mary Ann Blicharz, RN
• Donna Branca, LCSW, LCADC
• Gina Bryant, CVRT
• Linda Anne Bulger, RN
• Nicola O Burnett, MSW
• Richard J. Byrne Jr., LSW

• Gerontology Registered Nurse in Lyons, NJ
• Providers in Lyons, NJ by specialty
• Gerontology Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.