Provider Demographics
NPI:1225092943
Name:MAPES, MAEGAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:MAEGAN
Middle Name:
Last Name:MAPES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BATTERY HILL DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4200
Mailing Address - Country:US
Mailing Address - Phone:215-535-5598
Mailing Address - Fax:215-533-0928
Practice Address - Street 1:180 TUCKERTON RD
Practice Address - Street 2:SUITE # 2
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8802
Practice Address - Country:US
Practice Address - Phone:856-797-1414
Practice Address - Fax:215-533-0928
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ809231H00000X
PA967L231H00000X
PA496231HA2400X, 231HA2500X, 237600000X
NJ547231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Not Answered231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0865737000OtherKEYSTONE HEALTH PLAN EAST
1124072665OtherGROUP NPI#
NJ0865737000OtherAMERIHEALTH
PA01425249Medicaid
PA16939OtherHEALTH PARTNERS
PA283103OtherBLUE CROSS BLUE SHIELD
PA0865737000OtherKEUSTONE HEALTH PLAN EAST
PA0865737000OtherAMERIHEALTH
PA283103OtherPERSONAL CHOICE
PA1029608OtherKEYSTONE MERCY
NJ283013OtherBLUE CROSS BLUE SHIELD
NJ0088676Medicaid
PA23165OtherAETNA
NJ23165OtherAETNA
NJ283013OtherPERSONAL CHOICE
PA283103OtherPERSONAL CHOICE
PA01425249Medicaid