| Mariam Wallizadeh, NP | |
|
2440 Hamburg Tpke, Wayne, NJ 07470-6226 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Mariam Wallizadeh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2440 Hamburg Tpke, Wayne, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740828169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00978800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care Pc | 7911003330 | 364 |
| Minuteclinic Diagnostic Of New Jersey Llc | 8527142439 | 112 |
| Entity Name | Hackensack Meridian Health Medical Group - Primary Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
| Entity Name | Minuteclinic Diagnostic of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Wallizadeh, NP 331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688 Ph: Not Available | Mariam Wallizadeh, NP 2440 Hamburg Tpke, Wayne, NJ 07470-6226 Ph: (866) 389-2727 |
Mrs. Deanna Marie Sanacore, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 342 Hamburg Tpke Ste 107, Wayne, NJ 07470 Phone: 973-870-0777 Fax: 888-465-2135 |
Yelena Anfibio, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 Hamburg Tpke Ste 202, Wayne, NJ 07470 Phone: 973-595-1809 |
Ariel Avion Vassel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Hamburg Tpke Ste 302, Wayne, NJ 07470 Phone: 973-790-9222 |
Kaitlyn Gearst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Crossing Way, Wayne, NJ 07470 Phone: 201-207-9070 |
Jacquelyn Marie Amodeo, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 Hamburg Tpke Ste 205, Wayne, NJ 07470 Phone: 973-389-1800 |
Tangina B Rahman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Vizcaya Ct, Wayne, NJ 07470 Phone: 973-870-8744 |
Jessica Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Shore Rd, Wayne, NJ 07470 Phone: 908-421-5014 |