MAUREEN WATERS – Physician Assistant, NPI 1962047290
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
Provider Addresses for MAUREEN WATERS
1000 10th Ave
New York, NY 100191147
Phone: (610) 781-4682
Type: Location
809 22ND ST APT 1001
UNION CITY, NJ 070879144
Phone: (610) 781-4682
Type: Mailing
1000 10TH AVE
NEW YORK, NY 100191147
Phone: (610) 781-4682
Type: Location
100 E LANCASTER AVENUE
SUITE 375 MEDICAL SCIENCE BUILDING
WYNNEWOOD, PA 190963433
Phone: (610) 645-9093
Fax: (610) 645-9476
Type: Location
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 190732336
Phone: (484) 337-1632
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200505003143 | I | Physician Assistant | NY | TBD |
| I20250707000696 | I | Physician Assistant | PA | TBD |
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.
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 10019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Family Practice, Geriatric Medicine | PA |
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