Gregory J Maroney, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2003-0005 Issued in NM

Practice address

1108 W US Route 66
Moriarty, NM 87035-1006

Phone

(505) 832-4434

Fax

(505) 832-5024

NPI assigned

May 31, 2006

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

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

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment NPD (past)
• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• Modern Pain & Spine PC

  • Interventional Pain Medicine Physician
  • Albuquerque, NM
  • NPI 1821695081
  NPD (past)
• New Mexico Pain and Spine Institute, a Professional Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
  • NPI 1861728016
  NPD (past)
• Osuna Medical Associates, PA

  • Pain Clinic/Center
  • Albuquerque, NM
  • NPI 1164697868
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santa Fe Pain & Spine Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Rio Rancho, NM
  • NPI 1700814316
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1972550184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B HWY 14N SUITE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089499",
            "telephone_number": "505-281-5180",
            "fax_number": "505-281-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W US ROUTE 66",
            "city": "MORIARTY",
            "state": "NM",
            "postal_code": "870351006",
            "telephone_number": "505-832-4434",
            "fax_number": "505-832-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONEY",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2003-0005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen K Leeson, LMSW
• Sara Lombardi, LPCC
• Sarah Jill Lyon, RRT
• Angela Mabry
• Christina Magnuson, OTR
• Carla Martin, MS-SLP/CF
• Pamela C Martin, COTA
• Melissa Jean Martinez, LMSW
• Sharon McBride
• Mind-Body Therapeutics

• Medical Physician Assistant in Moriarty, NM
• Providers in Moriarty, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.