Individual provider Active NPI

Robert S Marez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1124532148
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135954 Issued in TX
Practice address
609 N Jackson Rd
Edinburg, TX 78541-2851
Phone
(956) 600-7807
NPI assigned
Nov 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135954 TX Primary

Addresses

Primary practice location

609 N Jackson Rd
Edinburg, TX 78541-2851

Mailing address

401 E Xanthisma Ave
McAllen, TX 78504-2354
Phone (956) 984-9291

Other practice location 1

345 Lorenaly Dr
Brownsville, TX 78526-4333
Phone (956) 545-0646

Other practice location 2

287 Park Ave S Fl 5
New York, NY 10010-4573
Phone (917) 451-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180802000677 TX Practitioner - Nurse Practitioner 7618225988 Reassigns benefits to 1 organization
I20221109000995 NY Practitioner - Nurse Practitioner 7618225988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JNC Behavioral Services, P.a.Group PAC ID 9931379245, 7 clinicians

Practice addresses (Care Compare)

345 Lorenaly Dr
Brownsville, TX 78526-4333
Phone (956) 545-0646

609 N Jackson Rd
Edinburg, TX 78541-2851
Phone (956) 600-7807

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JNC Behavioral Services, P.a. CurrentSince May 1, 2018 Accepting new patients
Aldad Medical PC CurrentSince Oct 11, 2022 Accepting new patients

Locations

287 Park Ave S
Fl 5
New York, NY 10010
Phone (917) 451-3090

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

345 Lorenaly Dr
Brownsville, TX 78526
Phone (956) 545-0646

2506 E Griffin Pkwy
Mission, TX 78572
Phone (956) 545-0646

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1124532148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E XANTHISMA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042354",
            "telephone_number": "956-984-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412851",
            "telephone_number": "956-600-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Lorenaly Dr",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264333",
            "country_code": "US",
            "telephone_number": "956-545-0646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "287 Park Ave S Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104573",
            "country_code": "US",
            "telephone_number": "917-451-3090",
            "fax_number": "949-419-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAREZ",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.