MARY LAINE KHINE-STICKLER (M.D.) – Maternal & Fetal Medicine Physician, NPI 1891762571

MARY LAINE KHINE-STICKLER (M.D.) is a healthcare provider. based in Newark, New Jersey. specializing in UNDEFINED PHYSICIAN TYPE (SPECIFY). They hold the professional credentials M.D.. They hold a License No. 25MA07354000 (NJ). The NPI Number for MARY LAINE KHINE-STICKLER (M.D.) is 1891762571

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY LAINE KHINE-STICKLER (M.D.)
NPI
1891762571
Phone
(973) 971-5595
Address
PO BOX 34608
Enumeration Date
2 March 2006
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023416610
Graduation Year
1992 (34 years ago)
PAC ID
2567511397
Group Practice PAC ID
4385645209
Professional Enrollment ID
I20221017001815
Address ID
NV891485506LA5761XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

14 UNDEFINED PHYSICIAN TYPE (SPECIFY) in NV

Provider Addresses for MARY LAINE KHINE-STICKLER (M.D.)

  • PO BOX 34608

    NEWARK, NJ 071890001

    Phone: (973) 971-5595

    Type: Mailing

  • 5761 SOUTH FORT APACHE ROAD

    LAS VEGAS, NV 891485506

    Phone: (702) 341-6610

    Fax: (702) 341-6961

    Type: Mailing

  • Madison Avenue, Morristown, Morris County, New Jersey, 07960, United States

    SUITE 203

    MORRISTOWN, NJ 079606092

    Phone: (973) 971-5595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI-AVENTIS U.S. LLC$122
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221017001815IMaternal Fetal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07189)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385645209View full group profile
NameSpecialtyState
Nurse PractitionerHI
-NV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
-NV
O B S T E T R I C S/ G Y N E C O L O G YHI
-NV

Reviews

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Frequently asked questions

How do payers reference MARY LAINE KHINE-STICKLER (M.D.)?
For MARY LAINE KHINE-STICKLER (M.D.), use NPI 1891762571 as the unique 10-digit identifier.
Active or inactive — what applies to MARY LAINE KHINE-STICKLER (M.D.)?
You should see MARY LAINE KHINE-STICKLER (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with MARY LAINE KHINE-STICKLER (M.D.)?
MARY LAINE KHINE-STICKLER (M.D.)'s record emphasizes Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY LAINE KHINE-STICKLER (M.D.)?
Directory geography for MARY LAINE KHINE-STICKLER (M.D.) centers on Newark, New Jersey.
When was this NPI issued?
Enumeration for MARY LAINE KHINE-STICKLER (M.D.) is noted as March 2, 2006 where the registry provides it.

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