Healthcare Provider Details

I. General information

NPI: 1982958245
Provider Name (Legal Business Name): CASEY MAPES PIERCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 10/22/2026
Certification Date: 10/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 VALLEY RD STE 201
WAYNE NJ
07470-3534
US

IV. Provider business mailing address

504 VALLEY RD STE 201
WAYNE NJ
07470-3534
US

V. Phone/Fax

Practice location:
  • Phone: 973-446-7500
  • Fax: 973-554-4922
Mailing address:
  • Phone: 973-446-7500
  • Fax: 973-554-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number25MA10354400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: