Healthcare Provider Details

I. General information

NPI: 1619504875
Provider Name (Legal Business Name): MAERA JEAN STRATTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FROM RD STE 430A
PARAMUS NJ
07652-3551
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-3200
  • Fax: 201-968-0163
Mailing address:
  • Phone:
  • Fax: 201-968-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberD0102729
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number25MA13280900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberD0102729
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: