Individual ProviderMario MaffeiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2225 E Evesham Rd, Suite 101, Voorhees, NJ 08043-1557(856) 795-4330(856) 291-6818PECOS EnrollmentBased on the most recent information from CMS, provider Mario Maffei is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1518956283Provider TypeIndividualFull NameMaffei, MarioTitleDr.CredentialM.DGenderMaleSole ProprietorNoEnumeration Date10/17/2005Last Updated10/16/2020Contact InformationPractice LocationPractice Address2225 E Evesham Rd, Suite 101, Voorhees, NJ 08043-1557Phone(856) 795-4330Fax(856) 325-3704Mailing LocationMailing Address7000 Atrium Way, Suite 6, Mount Laurel, NJ 08054Phone(856) 291-6818Fax(856) 291-6819Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25MA06621300New JerseyProvider IdentifiersIDDescriptionIssuerID7924704DescriptionMedicaidIssuerUnlistedNew Jersey