Individual provider Active NPI

Luisa T Tinoco Villamarin, FNP

  • Family Nurse Practitioner
  • West New York, NJ
National Provider Identifier
1053202275
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15367400 Issued in NJ
Practice address
323 62ND St
West New York, NJ 07093-2323
Phone
(201) 392-3527
Fax
(877) 409-2006
NPI assigned
Jul 14, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15367400 NJ Primary

Addresses

Primary practice location

323 62ND St
West New York, NJ 07093-2323

Mailing address

323 62ND St
West New York, NJ 07093-2323
Phone (201) 392-3527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001798 NJ Practitioner - Nurse Practitioner 2769974195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15367400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onemd LLC CurrentSince Oct 28, 2025 Accepting new patients
New Jersey Medical and Health Associates,LLC PastSince Oct 28, 2025 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 392-3361

55 Meadowlands Pkwy
Fl 4
Secaucus, NJ 07094
Phone (201) 392-3527

323 62nd St
West New York, NJ 07093
Phone (201) 325-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJHCD/Endpoint/FIJHCD

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1053202275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 62ND ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932323",
            "telephone_number": "201-392-3527",
            "fax_number": "877-409-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 62ND ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932323",
            "telephone_number": "201-392-3527",
            "fax_number": "877-409-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINOCO VILLAMARIN",
        "first_name": "LUISA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15367400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.