Loading Complete
Nicholas J. Maragakis

Nicholas J. Maragakis, MD

Neuromuscular Medicine

Accepting New Patients

Highlights

Age Groups Seen

  • Young Adult 18-25
  • Adult 26-64
  • Older Adult 65+

Languages

  • English

Gender

Male

Johns Hopkins Affiliations:

  • Johns Hopkins School of Medicine Faculty

About Nicholas J. Maragakis

Professional Titles

  • Director, Center for ALS Specialtiy Care
  • Director, ALS Center for Cell Therapy and Regeneration Research
  • Medical Director, ALS Clinical Trials Unit

Primary Academic Title

Professor of Neurology

Johns Hopkins Physician

Logo for Johns Hopkins Physician

Background

Nicholas Maragakis treats patients with motor neuron diseases, such as amyotrophic lateral sclerosis (ALS). This care is coordinated with the Johns Hopkins Center for ALS Specialty Care, a multidisciplinary clinic with expertise in treating patients with ALS and providing support to their caregivers. He serves as medical director of the ALS Clinical Trials Unit, an extension of the multidisciplinary clinic that seeks to facilitate opportunities for patients with ALS to participate in clinical trials that could advance the treatment of this disease.

Dr. Maragakis is interested in the basic science of understanding neurodegenerative diseases, as well as the translational potential of therapeutic compounds developed in the laboratory. His fundamental research interest is in using stem cells — more specifically, stem cell-derived motor neurons and glia — for understanding the development and propagation of ALS. 

His laboratory has been involved in creating and characterizing lines of stem cells from patients with ALS using induced pluripotent stem cell (iPSC) methodologies. The laboratory has a large library of iPSCs from patients with familial ALS and from patients with sporadic ALS. The utilization of this library of iPSCs has facilitated the development of a spinal cord-specific iPSC-astrocyte/motor neuron co-culture system, which has been leveraged for the development of assays that can be used for both the basic understanding of ALS astrocyte and motor neuron biology as well as, eventually, drug screening for ALS therapeutics. 

His laboratory has taken its long-standing interests in astrocyte biology, as it relates to ALS, to develop a program that investigates astrocyte-specific mechanisms as contributors to the progression (both temporally and anatomically) of disease in ALS. In this vein, there is an interest in astrocytic glutamate transporters and, more recently, astrocyte hemichannels and gap junctions.

 

Find a Clinical Trial

View all trials by this principal investigator.

Lab Website

ALS Center - Lab Website

  • The Maragakis lab's main focus is in understanding disease mechanisms and targeting cell therapeutics for Amyotrophic Lateral Sclerosis (ALS). In collaboration with Johns Hopkins neuroscientists, his laboratory helped create stem cell lines from ALS patients using induced pluripotent stem cell (iPSC) methodologies. These cells will allow for the development of human cell lines which can be used for both the basic understanding of ALS astrocyte and motor neuron biology, as well as eventually identifying ALS therapeutics. Researchers in the Maragakis lab also focus on the potential therapeutic role of astrocyte replacement in ALS using glial stem cells. By transplanting glial stem cells into ALS animal models, the researchers in the Maragakis lab found that the stem cells can engraft, migrate and differentiate into astrocytes, and subsequently provide neuroprotection to vulnerable motor neuron pools. The team uses stem cell transplantation biology to understand the influences of mutant SOD1 astrocytes on normal, healthy motor neurons. A significant laboratory effort is underway to translate these discoveries into therapies for patients with ALS.

Selected Publications

  • 5.Haidet-Phillips AM, Gross SK, Williams T, Tuteja A, Sherman A, Ko M, Jeong YH, Wong PC, Maragakis NJ. Altered astrocytic expression of TDP-43 does not influence motor neuron survival. Exp Neurol. 2013 Dec;250:250-9. PubMed PMID: 24120466.

  • Almad AA, Doreswamy A, Gross SK, Richard JP, Huo Y, Haughey N, Maragakis NJ.  Glia. 2016 Apr 16. doi: 10.1002/glia.22989. Connexin 43 in astrocytes contributes to motor neuron toxicity in amyotrophic lateral sclerosis.

  • Haidet-Phillips AM, Doreswamy A, Gross SK, Tang X, Campanelli JT, Maragakis NJ. Human glial progenitor engraftment and gene expression is independent of the ALS environment. Exp Neurol. 2015 Feb;264:188-99. PubMed PMID: 25523812. 

  • Haidet-Phillips AM, Roybon L, Gross SK, Tuteja A, Donnelly CJ, Richard JP, Ko M, Sherman A, Eggan K, Henderson CE, Maragakis NJ. Gene profiling of human induced pluripotent stem cell-derived astrocyte progenitors following spinal cord engraftment. Stem Cells Transl Med. 2014 May;3(5):575-85. PubMed PMID: 24604284; PubMed Central PMCID: PMC4006486. 

  • Taga A, Dastgheyb R, Habela C, Joseph J, Richard J-P, Gross SK, Lauria G, Lee G, Haughey N, Maragakis NJ.  Role of human induced pluripotent stem cell-derived spinal cord astrocytes in the functional maturation of motor neurons in a multielectrode array system.  Stem Cells Transl Med. 2019 Dec;8(12):1272-1285. doi: 10.1002/sctm.19-0147. Epub 2019 Oct 21 PMID:31631575 PMCID:PMC6877769

Locations

  1. Levi Watkins, Jr., M.D., Outpatient Center

Expertise

Education

  • Fellowship: Johns Hopkins University School of Medicine, Clinical Neurophysiology, 1999
  • Residency: Johns Hopkins University School of Medicine, Neurology, 1998
  • Medical Education: University of Utah Health, MD, 1994

Insurance

Please contact the location directly to confirm your health plan is accepted.
Search plans
  • Aetna
  • CareFirst
  • Cigna
  • First Health
  • Geisinger Health Plan
  • HealthSmart/Accel
  • Johns Hopkins Health Plans
  • MultiPlan
  • Pennsylvania's Preferred Health Networks (PPHN)
  • Point Comfort Underwriters
  • Private Healthcare Systems (PHCS)
  • Veteran Affairs Community Care Network (Optum-VACCN)

Ratings & Reviews

4.9 out of 5

60 ratings, 21 reviews

The Patient Rating score is an average of all responses to physician related questions on the national CG-CAHPS Medical Practice patient experience survey through Press Ganey. Responses are measured on a scale of 1 to 5, with 5 being the best score. Comments are also gathered from our CG-CAHPS Medical Practice Survey through Press Ganey and displayed in their entirety. Patients are de-identified for confidentiality and patient privacy.

Overall Rating by Patient
Provider Listened Carefully
Provider Explained Things Clearly
Provider Knew Medical History
Provider Showed Respect
Provider Spent Enough Time
Search reviews
    5 out of 5 stars
    Reviewed on 3/16/2026

    Excellent v

    5 out of 5 stars
    Reviewed on 3/2/2026

    Doctor was very professional.

    5 out of 5 stars
    Reviewed on 2/26/2026

    I am so thankful for Dr. Maragakis

    5 out of 5 stars
    Reviewed on 2/23/2026

    Slept at hospital to confirm appointmentI'm from Indiana.

    5 out of 5 stars
    Reviewed on 2/2/2026

    Very positive experience all around

    5 out of 5 stars
    Reviewed on 1/8/2026

    Dr. Maragakis is an exceptional provider especially since he deals with ALS patients with horrible prognosis. His genuine care and expertise is much appreciated. His research is essential.

    5 out of 5 stars
    Reviewed on 12/8/2025

    This was my first visit with Dr. Maragakis and I feel I am in good hands.

    5 out of 5 stars
    Reviewed on 12/1/2025

    Dr showed concern and was open to my desire to contact toxic and immune to also evaluate my condition.

    5 out of 5 stars
    Reviewed on 11/13/2025

    So happy to have Dr M.

    5 out of 5 stars
    Reviewed on 11/10/2025

    Excellent doctor! Really appreciated his care.

    5 out of 5 stars
    Reviewed on 8/25/2025

    All good!

    5 out of 5 stars
    Reviewed on 8/14/2025

    Dr. Maragakis is a genuine, caring and hopeful man.

    5 out of 5 stars
    Reviewed on 7/10/2025

    Very professional and explained the way I could understand. Didn't waste time when it came to testing.

    5 out of 5 stars
    Reviewed on 7/10/2025

    Always a pleasure talking and discussing my condition with him. Extremely knowledgeable !

    5 out of 5 stars
    Reviewed on 6/26/2025

    Dr. Maragakis is always caring and listens to what I have to say.

    5 out of 5 stars
    Reviewed on 6/16/2025

    Very clear communication. Helped me learn about my condition.

    5 out of 5 stars
    Reviewed on 6/16/2025

    Physician was very experienced and was informed about my medical history.

    5 out of 5 stars
    Reviewed on 5/8/2025

    He was professional, caring, thorough, and exceedingly knowledgeable regarding ALS.

    5 out of 5 stars
    Reviewed on 5/8/2025

    They are very organized and treated me VERY nice.

    5 out of 5 stars
    Reviewed on 4/21/2025

    Dr Maragakis answered all my questions I had about ALS

    5 out of 5 stars
    Reviewed on 4/21/2025

    I FELT HE LISTENED WELL AND RESPONDED TO MY QUESTIONS/COMMENTS