Mayra Guadalupe, APN GERONTOLOGY

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ15387300 Issued in NJ

Practice address

40 Prospect Avenue 2ND Floor David Jurist Research Buil
Hackensack, NJ 07601

Phone

(551) 996-1122

NPI assigned

Oct 28, 2025

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1245108505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "MAYRA",
        "credential": "APN GERONTOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15387300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L. Gross, M.D.
• Yakov Groysman, DPM
• Jason Gruener, MD
• Gregory Anthony Gruerio, PA-C
• Noreen Grzelak Volez, M.ED SPE ED
• Diane Guadara, DPM
• Joanne Guadara, D.C.
• John Guadara, DPM
• Diane Guarascio, RN
• Guardian Eldercare PC

• Gerontology Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.