Individual provider Active NPI

Mariem Abedullah, DNP, APN, FNP-BC

  • Family Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1184209017
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01227100 Issued in NJ
Practice address
2 Journal Square PLZ
Jersey City, NJ 07306-4001
Phone
(201) 894-3000
Fax
(201) 918-5520
NPI assigned
Mar 11, 2021
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 26NR19479600 NJ
Family Nurse Practitioner 363LF0000X 26NJ01227100 NJ Primary

Addresses

Primary practice location

2 Journal Square PLZ
Jersey City, NJ 07306-4001

Mailing address

2 Journal SQ
Jersey City, NJ 07306-4006
Phone (551) 325-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20220216000610 NJ Practitioner - Nurse Practitioner 1850784844 Reassigns benefits to 3 organizations
I20231213000830 NY Practitioner - Nurse Practitioner 1850784844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Care Providers of AmericaGroup PAC ID 4385019090, 5 clinicians
Specialty Infusion of NJ PCGroup PAC ID 2860881554, 5 clinicians
Nyc Medical Infusion PCGroup PAC ID 3678834157, 12 clinicians

Practice addresses (Care Compare)

100 Canal Pointe Blvd
Suite 112
Princeton, NJ 08540-7123
Phone (609) 300-7770

120 N Rte
17 Suite 200
Paramus, NJ 07652-2819
Phone (212) 776-9090

1365 Washington Ave
Suite 102a
Albany, NY 12206-1098
Phone (212) 776-9090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR19479600NJMDEmergency Registered Nurse
26NJ01227100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Care Providers of America CurrentSince Sep 1, 2023 Accepting new patients
Specialty Infusion of NJ PC CurrentSince Jun 20, 2023 Accepting new patients
Civic Medicine, PLLC CurrentSince Oct 17, 2023 Accepting new patients
Nyc Medical Infusion PC CurrentSince Oct 17, 2023 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Feb 7, 2022 Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 Accepting new patients
Civic Wilton, PLLC PastSince Oct 17, 2023 Accepting new patients

Locations (25 of 31)

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

1800 Chapel Ave W
Ste 303
Cherry Hill, NJ 08002
Phone (610) 495-6800

46 Union Ave
Cresskill, NJ 07626
Phone (201) 205-2172

557 Cranbury Rd
Ste 17
East Brunswick, NJ 08816
Phone (732) 257-4008

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Journal Square Plz
Jersey City, NJ 07306
Phone (201) 714-8622

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202

120 N Route 17
Ste 200
Paramus, NJ 07652

100 Canal Pointe Blvd
Ste 112
Princeton, NJ 08540
Phone (609) 243-8711

1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220

50 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 772-0656

1644 Eastchester Rd
Bronx, NY 10461
Phone (917) 445-9119

1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202

1047 Surf Ave
Ste 2
Brooklyn, NY 11224

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

5663 E Circle Dr
Cicero, NY 13039
Phone (315) 214-0004

546 Towne Dr
Fayetteville, NY 13066

8623 Clinton St
Ste B
New Hartford, NY 13413

279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

175 E 96th St
New York, NY 10128
Phone (646) 979-2900

5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870

1865 S Clinton Ave
Ste 160
Rochester, NY 14618

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1184209017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQ",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064006",
            "telephone_number": "551-325-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQUARE PLZ",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064001",
            "telephone_number": "201-894-3000",
            "fax_number": "201-918-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDULLAH",
        "first_name": "MARIEM",
        "credential": "DNP, APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR19479600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01227100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.