Individual provider Active NPI

Mariama Daramy, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1154911659
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01099200 Issued in NJ
Practice address
360 Route 73 S # 837
Marlton, NJ 08053-2004
Phone
(862) 703-9169
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ01099200 NJ Primary

Addresses

Primary practice location

360 Route 73 S # 837
Marlton, NJ 08053-2004

Mailing address

360 Route 73 S # 837
Marlton, NJ 08053-2004
Phone (186) 538-9272

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
I20210519001490 NJ Practitioner - Nurse Practitioner 3779982046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

59 Washington St
Hoboken, NJ 07030-7383
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01099200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Single Specialty CurrentSince Feb 16, 2021 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Single Specialty CurrentSince Jul 16, 2025 Accepting new patients

Locations

989 Burnt Tavern Rd
Ste 2
Brick, NJ 08724
Phone (732) 714-7127

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

59 Washington St
Hoboken, NJ 07030
Phone (201) 792-7929

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

360 Route 73 S
#837
Marlton, NJ 08053
Phone (856) 596-7010

360 Route 73 S
Marlton, NJ 08053
Phone (856) 596-7010

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1154911659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 73 S # 837",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532004",
            "telephone_number": "186-538-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 73 S # 837",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532004",
            "telephone_number": "862-703-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMY",
        "first_name": "MARIAMA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01099200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.