Individual provider Active NPI

Mariette Yvonne Amadi, M.D

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1093977019
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
302868 Issued in NJ
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

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MA08528000OtherNJSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
302868NJMDInternal Medicine Physician
265667NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Medcare Practice, LLC Internal Medicine CurrentSince Jun 25, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 9, 2019 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Nov 12, 2018 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Sep 15, 2010 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Nov 27, 2023 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Sep 15, 2010 Accepting new patients
Physicians of University Hospital, PC Internal Medicine Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 4, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Sep 4, 2019 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

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

View all 13

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

Verify at the official NPI Registry.