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MARIA J TEJADA ADVANCED PRACTICE RN
NPI 1437756954
Nurse Practitioner - Gerontology in Toms River, NJ

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
1163 ROUTE 37 W STE D4, TOMS RIVER, NJ 08755(732) 341-9494 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria J Tejada Advanced Practice Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA J TEJADA ADVANCED PRACTICE RN (NPI 1437756954) is an individual gerontology provider in Toms River, New Jersey, licensed in New Jersey (26NJ01055100) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437756954
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARIA J TEJADACredential: ADVANCED PRACTICE RN
Location Address1163 ROUTE 37 W STE D4Toms River, NJ 08755-4975
Mailing Address17 Kim LnToms River, NJ 08755-6376 · (848) 448-1067
Phone(732) 341-9494
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 7, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1437756954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ01055100
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ01055100 (NJ)
1163 ROUTE 37 W STE D4, Toms River, NJ 08755
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria J Tejada Advanced Practice Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759757776
PECOS Enrollment IDI20221017001693
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services102 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
95 services88 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services65 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JJIREH LLC
Family Medicine
1163 ROUTE 37 W STE D4
TOMS RIVER, NJ 08755
Ocean County (732) 862-9632

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 Maria Tejada's NPI number?

The NPI number for Maria Tejada is 1437756954. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Maria Tejada located?

Maria Tejada practices at 1163 Route 37 W Ste D4, Toms River, NJ 08755. The listed phone number is (732) 341-9494.

What is Maria Tejada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Maria Tejada enrolled in Medicare?

Yes. Maria Tejada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maria Tejada accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Maria Tejada 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.

Is Maria Tejada affiliated with any hospitals?

According to CMS data, Maria Tejada is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Tejada was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.