Marissa Solis Guzman, APN-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A1007099 Issued in NJ

Practice address

20 Beekman PL
Fair Haven, NJ 07704-3102

Phone

(732) 530-7168

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marissa S Guzman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  NPD (past)
• New Jersey Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Red Bank, NJ
  • NPI 1578092391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1013174085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEEKMAN PL",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043102",
            "telephone_number": "732-530-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEEKMAN PL",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043102",
            "telephone_number": "732-530-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARISSA",
        "middle_name": "SOLIS",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "A1007099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "GUZMAN",
            "middle_name": "S",
            "credential": "APN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tracy Fenech
• Paul Ferguson, DMD
• Alison Winter Fernandez, MSW, LCSW
• Elizabeth S. Gredell, D.O.
• Kelly Elizabeth Greene, LCSW, LCADC
• Haven Allergy LLC
• Dorothy Medina Hoyt-Rehm, D.M.D
• Johns Hopkins University
• Elzbieta L Konopka
• Edward J Kuch, DDS

• All providers in Fair Haven, NJ
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.