DR. MARGARET MCGUIRE M.D.
NPI 1093872509
Surgery - Pediatric Surgery in Neptune, NJ
About Dr. Margaret Mcguire M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARGARET MCGUIRE M.D. (NPI 1093872509) is an individual pediatric surgery provider in Neptune, New Jersey, licensed in New Jersey (25MA11401100) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Margaret Mcguire M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Margaret Mcguire reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Norfolk, VA 23507
- Reassigned Medicare billing, Virginia enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Margaret Mcguire's NPI number?
The NPI number for Margaret Mcguire is 1093872509. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Margaret Mcguire located?
Margaret Mcguire practices at 19 Davis Ave Fl 4, Neptune, NJ 07753. The listed phone number is (732) 935-0407.
What is Margaret Mcguire's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Margaret Mcguire enrolled in Medicare?
Yes. Margaret Mcguire is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Margaret Mcguire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Mcguire reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Children's Surgical Specialty Group, Inc (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margaret Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Margaret Mcguire accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Margaret Mcguire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Margaret Mcguire was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Margaret Mcguire, M.D. · NPI 1093872509
Pediatric Surgery physician in Neptune, New Jersey. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1093872509 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 25MA11401100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 DAVIS AVE FL 4, Neptune, NJ 07753-4488
- **Phone:** (732) 935-0407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Children's Surgical Specialty Group, Inc (NPI 1245248947, Norfolk, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093872509) · Data from the CMS NPPES public registry.