Active NPIIndividual provider

Mary P Radd, MSN, APN

Nurse Practitioner, Family in Forked River, New Jersey

NPI Number1417272717
Practice location
1001 Lacey RD,, Forked River, NJ 08753-0780
Fax
609-971-2888
Last updated
March 30, 2010

Mary Patricia Radd is a Nurse Practitioner, Family based in Forked River, NJ. Mary Patricia Radd practices in Forked River, NJ and has the professional credentials of MSN, APN. The NPI Number for Mary Patricia Radd is 1417272717 and holds a License No. 26NJ00274000 (NJ). The current practice location address for Mary Patricia Radd is 1001 Lacey RD,, Forked River, NJ 08753-0780 and can be reached out via phone at 609-693-8900 and via fax at 609-971-2888.

Provider Profile Details

NPI Number
1417272717
Provider Name
Mary Patricia Radd
Credential
MSN, APN
Provider Entity Type
Individual
Gender
Female
Address
1001 Lacey RD,, Forked River, NJ 08753-0780
Phone Number
609-693-8900
Fax Number
609-971-2888
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2010
Last Update Date
March 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 Lacey RD,
Forked River, NJ 08753-0780
Zip
08753-0780
Phone Number
609-693-8900
Fax Number
609-971-2888
Forked River, NJ 08753Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 780
1001 Lacey RD
Forked River, NJ 08753-0780
City
Forked River
State
NJ
Zip
08753-0780
Phone Number
609-693-8900
Fax Number
609-971-2888

License Information

License Number
26NJ00274000
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary P Radd, MSN, APN?

The NPI number of Mary P Radd, MSN, APN is 1417272717. It was assigned on March 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Mary P Radd, MSN, APN?

Mary P Radd, MSN, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00274000.

Where does Mary P Radd, MSN, APN practice?

The practice location is 1001 Lacey RD,, Forked River, NJ 08753-0780. The office can be reached at 609-693-8900 (phone) or 609-971-2888 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417272717 directly on the NPPES registry website.

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