Individual provider Active NPI

Marie Andrelina Fequiere-Sibert

  • Family Nurse Practitioner
  • Roselle, NJ
National Provider Identifier
1104533272
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01387300 Issued in NJ
Practice address
701 Wood Ave
Roselle, NJ 07203-2439
Phone
(190) 837-0132
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 26NJ01387300 NJ Primary

Addresses

Primary practice location

701 Wood Ave
Roselle, NJ 07203-2439

Mailing address

701 Wood Ave
Roselle, NJ 07203-2439
Phone (908) 370-2296

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
I20240410000761 NJ Practitioner - Nurse Practitioner 0244678217 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Apr 6, 2025 Accepting new patients
Kidney Care of Morris County LLC CurrentSince Mar 1, 2024 Accepting new patients
University Hospital CurrentSince Apr 6, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Feb 1, 2025 Accepting new patients
University Hospital Past Accepting new patients

Locations

290 Madison Ave
Ste 2
Morristown, NJ 07960
Phone (201) 704-7578

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1104533272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032439",
            "telephone_number": "908-370-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032439",
            "telephone_number": "190-837-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEQUIERE-SIBERT",
        "first_name": "MARIE",
        "middle_name": "ANDRELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01387300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

Verify at the official NPI Registry.