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Deactivated NPI 1518136530 Deactivated / Inactive NPI Female Practitioner

Dr. Mary Ellen Bowes , MD

General Practice • Mountainside, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Bowes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2008
NPI Deactivation Date July 10, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Bowes, MD was a registered General Practice practicing in Mountainside, NJ. Throughout an active medical career spanning 17 years, Dr. Bowes provided care at the practice location at 1455 WOODACRES DR until profile deactivation on 2025-07-10.

Practice Location & Contact Primary Location

Practice Address

1455 Woodacres Dr

Mountainside, NJ 070921738

Telephone 9082337289
Fax 9082331465

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mountainside, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Mountainside, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA02025400

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

NPI Profile Active February 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2008

Registered at 1455 WOODACRES DR, MOUNTAINSIDE, NJ 070921738 (Tel: 9082337289)

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Updated Business Mailing Address February 24, 2008

Registered at 1455 WOODACRES DR, MOUNTAINSIDE, NJ 070921738 (Tel: 9082337289)

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Provider Name / Credentials Updated February 24, 2008

Recorded as MARY BOWES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2008

General Practice (License #25MA02025400 in NJ)

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Initial NPI Registration & Enumeration February 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518136530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2008
Last Update: February 24, 2008
Deactivation Date: July 10, 2025

Mailing Address

1455 Woodacres Dr

Mountainside, NJ 070921738

Phone: 9082337289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.