Active NPI
Mariette Yvonne Amadi, M.D
- Internal Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 302868
- Practice address
- 2 University PLZ
Suite 100 #29
Hackensack, NJ 07601-6208 - Phone
- (908) 578-2144
- Fax
- (732) 379-4538
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 265667 | NY | |
| Hospitalist Physician | 208M00000X | 25MA08528000 | NJ | |
| Internal Medicine Physician | 207R00000X | 302868 | NJ | Primary |
Addresses
Primary practice location
2 University PLZ
Suite 100 #29
Hackensack, NJ 07601-6208
Mailing address
2 University Plaza
Suite 100 #29
Hackensack, NJ 07601-1914
Phone (908) 578-2144
Other practice location 1
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 996-3664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA08528000 | Other | NJ | STATE LICENSE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090901000387 | NJ | Practitioner - Internal Medicine | 9234284993 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 University PLZ
Suite 10029
Hackensack, NJ 07601-6202
Phone (908) 578-2144
Hospital & facility affiliations
- Hackensack University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302868 | NJ | MD | Internal Medicine Physician |
| 265667 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Medcare Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of New Jersey, PC | Internal Medicine | Current | Accepting new patients |
| Newark Community Health Centers, Inc | Current | Accepting new patients | |
| Newark Community Health Centers, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Pennsylvania, P.C. | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pennsylvania, Inc. | Internal Medicine | Past | Accepting new patients |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients |
Locations
6550 Delilah Rd
Ste 304
Egg Harbor Twp, NJ 08234
Phone (609) 484-7300
2 University Plz
Ste 100
Hackensack, NJ 07601
Phone (201) 744-7749
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
741 Broadway
Newark, NJ 07104
Phone (973) 483-1300
101 Ludlow St
Newark, NJ 07114
Phone (973) 565-0355
299 Cherry Hill Rd
Ste 302
Parsippany, NJ 07054
Phone (973) 394-9141
703 Main St
#P
Paterson, NJ 07503
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
300 Community Dr
Plandome, NY 11030
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBFIAA
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1215598826
Internal Medicine, NJ
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1629304290
Internal Medicine, NJ
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine, NJ
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1740345693
NJ
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1366993586
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Internal Medicine
-
- Internal Medicine Physician
- Somerset, PA
- NPI 1639464308
Internal Medicine
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
Internal Medicine
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
Hospital & facility affiliations 2
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": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1093977019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLAZA",
"address_2": "SUITE 100 #29",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "908-578-2144",
"fax_number": "732-379-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ",
"address_2": "SUITE 100 #29",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016208",
"telephone_number": "908-578-2144",
"fax_number": "732-379-4538"
}
],
"practiceLocations": [
{
"address_1": "30 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011914",
"country_code": "US",
"telephone_number": "201-996-3664",
"fax_number": "551-996-0536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMADI",
"first_name": "MARIETTE",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "265667",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA08528000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "302868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25MA08528000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.