Individual provider Active NPI

Ana Mariel Builes, FNP-C

  • Family Nurse Practitioner
  • Lodi, NJ
National Provider Identifier
1194356972
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00968100 Issued in NJ
Practice address
552 Harrison Ave
Lodi, NJ 07644-1137
Phone
(973) 981-3635
NPI assigned
Jan 30, 2020
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 26NJ00968100 NJ Primary

Addresses

Primary practice location

552 Harrison Ave
Lodi, NJ 07644-1137

Mailing address

552 Harrison Ave
Lodi, NJ 07644-1137
Phone (973) 981-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00968100NJMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: anb9156@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1194356972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 HARRISON AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441137",
            "telephone_number": "973-981-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 HARRISON AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441137",
            "telephone_number": "973-981-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUILES",
        "first_name": "ANA",
        "middle_name": "MARIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00968100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.