Individual provider Active NPI

Edward George Mauceri, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • East Hanover, NJ
National Provider Identifier
1992833826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
34313 Issued in NJ
Practice address
1 Health PLZ
405 1064
East Hanover, NJ 07936-1016
Phone
(862) 778-7964
Fax
(973) 781-6504
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 34313 NJ Primary

Addresses

Primary practice location

1 Health PLZ
405 1064
East Hanover, NJ 07936-1016

Mailing address

1 Health PLZ
405 1064
East Hanover, NJ 07936-1016
Phone (862) 778-7964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34313NJMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992833826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTH PLZ",
            "address_2": "405 1064",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361016",
            "telephone_number": "862-778-7964",
            "fax_number": "973-781-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH PLZ",
            "address_2": "405 1064",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361016",
            "telephone_number": "862-778-7964",
            "fax_number": "973-781-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCERI",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "34313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.