Individual provider Active NPI

Anne Marie Hurban, APN

  • Family Nurse Practitioner
  • Mahwah, NJ
National Provider Identifier
1205534492
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01418000 Issued in NJ
Practice address
190 Larch LN
Mahwah, NJ 07430-2069
Phone
(201) 289-7177
NPI assigned
Feb 17, 2023
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 26NJ01418000 NJ Primary

Addresses

Primary practice location

190 Larch LN
Mahwah, NJ 07430-2069

Mailing address

190 Larch LN
Mahwah, NJ 07430-2069
Phone (201) 289-7177

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
I20230323000155 NJ Practitioner - Nurse Practitioner 0446624076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Fridman LLCGroup PAC ID 6608207725, 5 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1856
Phone (201) 987-6090

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emad Jacob, MD PC CurrentSince Mar 1, 2023 Accepting new patients
David Fridman LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

596 Anderson Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 943-2700

837 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1205534492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LARCH LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302069",
            "telephone_number": "201-289-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LARCH LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302069",
            "telephone_number": "201-289-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURBAN",
        "first_name": "ANNE MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01418000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.