Mae N Dechristy
Nurse Practitioner, Family in Sewell, NJ. Individual provider (NPI-1).
NPI number1609374479
StatusActive
Last updated in NPPESJan 26, 2018
Details
- NPI
- 1609374479
- Entity type
- Individual (NPI-1)
- Name
- Mae N Dechristy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2018
- Last updated
- Jan 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00791700 | NJ | Yes |
Practice location
239 Hurfville-Cross Keys RoadSuite 480
Sewell, NJ 08080-4009
Phone 856-404-9719 · Fax 856-629-2214
Mailing address
239 Hurfville-Cross Keys RoadSuite 480
Sewell, NJ 08080-4009
Phone 856-404-9719 · Fax 856-629-2214
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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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