NICOLE MAFFIA (NPI# 1780069658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780069658 |
| Entity Type | Individual |
| Full Name | NICOLE MAFFIA |
| Practice Address |
2112 Dundalk Ave Baltimore MD 21222-3714 |
| Mailing Address |
212 N Tyrone Rd Baltimore MD 21212-1123 |
| Practice Telephone | 4102841133 |
| Mailing Telephone | 4107361736 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R177911 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2112 DUNDALK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535452 | Beth Ann Waddell-vandegeijn | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2005-06-01 |
| 1053954750 | Regine Beliard Veillard | Pharmacist | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-10-25 |
| 1760036834 | Meghan Estock Roman | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-07-27 |
| 1740664341 | Kathleen Bocskor | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-13 |
| 1184915498 | Brendan Day | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2011-04-21 |
| 1770882631 | Ayesha Anwar Butt | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2011-03-17 |
| 1255415873 | Swati D Phatak | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-10-24 |
| 1033213301 | Susan T Shultz | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1497859763 | Anthony J Harrell | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1710914296 | Marcia F. Schwartz | Pediatrics | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1306378120 | Teddi Roseman | Nurse Practitioner | 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 | 2017-03-30 |
| 1295280873 | Sarah Schlotterbeck Perl | Nurse Practitioner | 6711 Evanston Rd, Baltimore, MD 21209-3865 | 2016-08-24 |
| 1710333448 | Rachel Levy | Nurse Practitioner | 7010 Wallis Ave, Baltimore, MD 21215-1711 | 2016-05-12 |
| 1427425875 | Bernadette Russell | Nurse Practitioner | 1213 Harbor Island Walk, Baltimore, MD 21230-5461 | 2015-09-01 |
| 1750766879 | Laura Gertz | Nurse Practitioner | 1400 Orleans St, Baltimore, MD 21231-1021 | 2015-07-30 |
| 1336520402 | Clifton Peter Thornton | Nurse Practitioner | 1800 Orleans St Rm 11356, Baltimore, MD 21287-0010 | 2015-06-15 |
| 1295131332 | Erin Sherman | Nurse Practitioner | 306 Murdock Rd, Baltimore, MD 21212-1825 | 2014-11-18 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.