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MRS. MARY ANN E MICHELIS MD
NPI 1710956073
Allergy & Immunology in Hackensack, NJ

Active since March 17, 2006PECOS Enrolled
360 ESSEX STREET, SUITE 302, HACKENSACK, NJ 07601(551) 996-2065(551) 996-2169 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Mary Ann E Michelis Md NPPES

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

MRS. MARY ANN E MICHELIS MD (NPI 1710956073) is an individual allergy & immunology provider in Hackensack, New Jersey, licensed in New Jersey (25MA03935600) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710956073
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameMRS. MARY ANN E MICHELISCredential: MD
Location Address360 ESSEX STREET, SUITE 302Hackensack, NJ 07601
Mailing Address360 Essex Street, Suite 302Hackensack, NJ 07601 · (551) 996-2065 · Fax (551) 996-2169
Phone(551) 996-2065
Fax(551) 996-2169
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateOctober 6, 2017
✔ NPI 1710956073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NJ · 25MA03935600
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
360 ESSEX STREET, Hackensack, NJ 07601
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND06349NJ
Medicare ID-Type Unspecified421139NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Ann E Michelis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Ann Michelis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 4

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

ROSY E JOSEPH MD
Internal Medicine (Nephrology)
360 ESSEX STREET, SUITE 304
HACKENSACK, NJ 07601
Bergen County (201) 646-0110
ROBIN ASHINOFF MD
Dermatology
360 ESSEX STREET, SUITE 201
HACKENSACK, NJ 07601
Bergen County (201) 336-8660
MS. ANDREA L BILLS APN
Nurse Practitioner (Adult Health)
360 ESSEX STREET, SUITE 203
HACKENSACK, NJ 07601
Bergen County (551) 996-8867
LAMERCIE BRASIER NP
Nurse Practitioner (Gerontology)
360 ESSEX STREET, SUITE 401
HACKENSACK, NJ 07601
Bergen County (551) 996-3631

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 Mary Ann Michelis's NPI number?

The NPI number for Mary Ann Michelis is 1710956073. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Mary Ann Michelis located?

Mary Ann Michelis practices at 360 Essex Street Suite 302, Hackensack, NJ 07601. The listed phone number is (551) 996-2065.

What is Mary Ann Michelis's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mary Ann Michelis enrolled in Medicare?

Yes. Mary Ann Michelis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Ann Michelis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Michelis reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Mary Ann Michelis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Ann Michelis was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.