Provider Demographics
NPI:1609399278
Name:DE MAIO, MARIA SOCORRO BALLON (RN, MSN-FNP)
Entity Type:Individual
Prefix:
First Name:MARIA SOCORRO
Middle Name:BALLON
Last Name:DE MAIO
Suffix:
Gender:F
Credentials:RN, MSN-FNP
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Other - Credentials:
Mailing Address - Street 1:41 MEEHAN AVE
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1704
Mailing Address - Country:US
Mailing Address - Phone:908-229-0057
Mailing Address - Fax:
Practice Address - Street 1:110 REHILL AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2519
Practice Address - Country:US
Practice Address - Phone:908-685-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR16252100163W00000X
NJ26NJ00763700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse