Provider Demographics
NPI:1417379983
Name:SZABELA, MARIA ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELAINE
Last Name:SZABELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA ELAINE
Other - Middle Name:YBALLE
Other - Last Name:SZABELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:713 PINEHURST CT
Mailing Address - Street 2:UNIT 9
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8773
Mailing Address - Country:US
Mailing Address - Phone:732-343-0739
Mailing Address - Fax:
Practice Address - Street 1:111 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1909
Practice Address - Country:US
Practice Address - Phone:732-343-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09970900207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ581792ZFZ7OtherMEDICARE
NJ0581291Medicaid