MAUREEN P WHALEN MD
NPI 1730154139
Obstetrics & Gynecology in Berkeley Heights, NJ

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922(908) 273-4300(973) 921-9756 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maureen P Whalen Md NPPES

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

MAUREEN P WHALEN MD (NPI 1730154139) is an individual obstetrics & gynecology provider in Berkeley Heights, New Jersey, licensed in New Jersey (MA56181) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1985).

NPPES Registry Identity

NPI1730154139
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMAUREEN P WHALENCredential: MD
Location Address1 DIAMOND HILL RD, SUMMIT MEDICAL GROUPBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill Rd, Summit Medical GroupBerkeley Heights, NJ 07922-2104 · (908) 273-4300 · Fax (973) 921-9756
Fax(973) 921-9756
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1985
Enumeration DateFebruary 20, 2006
Last NPPES UpdateMarch 27, 2008
✔ NPI 1730154139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA56181
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

Other Identifiers 2

Medicare UPINE30603NJ
Medicare ID-Type Unspecified688387BSDNJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maureen P Whalen Md 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 ID749476612
PECOS Enrollment IDI20150213001152
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 Reassignments

2

Medicare enrollment records show Maureen Whalen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 991 clinicians in this Medicare group
Internal Medicine
330 MOUNT AUBURN ST
Cambridge, MA 02138
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

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 Maureen Whalen's NPI number?

The NPI number for Maureen Whalen is 1730154139. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Maureen Whalen located?

Maureen Whalen practices at 1 Diamond Hill Rd Summit Medical Group, Berkeley Heights, NJ 07922. The listed phone number is (908) 273-4300.

What is Maureen Whalen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maureen Whalen enrolled in Medicare?

Yes. Maureen Whalen 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.

Which organizations bill Medicare for Maureen Whalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Whalen reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Watertown, MA) and Mount Auburn Professional Services Inc (Cambridge, MA). 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 Maureen Whalen'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 Maureen Whalen was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.