Individual provider Active NPI

Adryanna Lima Tavares, APN

  • Personal Emergency Response Attendant
  • Hackensack, NJ
National Provider Identifier
1205202090
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
26NJ00582600 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(201) 452-5798
Fax
(551) 996-5697
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 26NJ00582600 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (201) 452-5798

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
I20150909000535 NJ Practitioner - Nurse Practitioner 6002122975 Reassigns benefits to 10 organizations
I20220105002486 NY Practitioner - Nurse Practitioner 6002122975

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
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (954) 939-5000

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-3547

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00582600NJMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Oct 9, 2018 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Nov 30, 2020 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Nov 30, 2020 Accepting new patients
Barron Emergency Physicians LLC CurrentSince Feb 10, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Jan 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2015 Accepting new patients
NJ Acute Care Specialists Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients
Home Sleep and Respiratory Care LLC CurrentSince Dec 20, 2021 Accepting new patients
Holy Name Pulmonary Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Oct 1, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

200 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 481-7160

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

67 E Ridgewood Ave
#U
Paramus, NJ 07652
Phone (201) 262-2010

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

333 E 34th St
Ofc 1O
New York, NY 10016
Phone (212) 613-3070

Interoperability endpoints

  • Direct secure messaging: adryanna.tavares@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: atavares287699@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 13

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.

View all 13

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1205202090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "201-452-5798",
            "fax_number": "551-996-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "201-452-5798",
            "fax_number": "551-996-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "ADRYANNA",
        "middle_name": "LIMA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NJ",
            "license": "26NJ00582600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.