Mary Wagenhoffer, APRN
Nurse Practitioner in Eatontown, NJ. Individual provider (NPI-1).
NPI number1326170754
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1326170754
- Entity type
- Individual (NPI-1)
- Name
- Mary Wagenhoffer
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NC07020000 | NJ | Yes |
Practice location
615 Hope Rd, Bldg 5Eatontown, NJ 07724
Phone 732-571-1000 · Fax 732-571-1156
Mailing address
615 Hope Rd, Bldg 5Eatontown, NJ 07724
Phone 732-571-1000 · Fax 732-571-1156
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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