Individual provider Active NPI

Mary Ann Haflin, MD

  • Family Medicine Physician
  • North Wildwood, NJ
National Provider Identifier
1982652731
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA025867 Issued in NJ
Practice address
1200 New Jersey Ave
North Wildwood, NJ 08260-2734
Phone
(609) 522-3131
NPI assigned
May 4, 2006
Last updated
May 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA025867 NJ Primary

Addresses

Primary practice location

1200 New Jersey Ave
North Wildwood, NJ 08260-2734

Mailing address

1200 New Jersey Ave
North Wildwood, NJ 08260-2734
Phone (609) 522-3131

Other identifiers 2

IdentifierTypeStateIssuer
1506404MedicaidNJ
139714SBVOtherNJMEDICARE ID TYPE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071030000014 NJ Practitioner - Family Practice 3870680473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA025867NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jan 1, 2007 Accepting new patients
Atlanticare Physician Group PA Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Atlanticare Health Services, Inc. Past Accepting new patients

Locations

2500 English Creek Ave
Bldg 600
Egg Harbor Twp, NJ 08234
Phone (609) 407-2337

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1200 New Jersey Ave
North Wildwood, NJ 08260
Phone (609) 522-3131

Interoperability endpoints

  • Direct secure messaging: mary.ann.haflin.1@15449.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1982652731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NEW JERSEY AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082602734",
            "telephone_number": "609-522-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NEW JERSEY AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082602734",
            "telephone_number": "609-522-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFLIN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA025867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506404",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE",
            "identifier": "139714SBV",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wildwood, NJ

Sources for this page

Verify at the official NPI Registry.