Active NPI
Marie Juline Cherubin, APN
- Psychiatric/Mental Health Nurse Practitioner
- Maplewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01301900
- Practice address
- 1560 Springfield Ave
Maplewood, NJ 07040-2414 - Phone
- (848) 256-9392
- Fax
- (908) 402-4846
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01301900 | NJ | Primary |
Addresses
Primary practice location
1560 Springfield Ave
Maplewood, NJ 07040-2414
Mailing address
1560 Springfield Ave
Maplewood, NJ 07040-2414
Phone (848) 256-9392
Other practice location 1
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Other practice location 2
550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0847208 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1560 Springfield Ave
Maplewood, NJ 07040-2414
Phone (848) 256-9392
99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01301900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinitas Regional Medical Center | Current | Accepting new patients | |
| Theos Health Care LLC | Single Specialty | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Single Specialty | Current | Accepting new patients |
| JLS Medical PC | Single Specialty | Current | Accepting new patients |
| Trinitas Regional Medical Center | Current | Accepting new patients | |
| Trinitas Regional Medical Center | Single Specialty | Current | Accepting new patients |
| Practice Associates Medical Group | Single Specialty | Current | Accepting new patients |
| Bancroft, a New Jersey Nonprofit Corporation | Single Specialty | Past | Accepting new patients |
Locations
601 Broadway
Bayonne, NJ 07002
Phone (201) 339-9200
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
1560 Springfield Ave
Maplewood, NJ 07040
Phone (848) 256-9392
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
Interoperability endpoints
- marie.cherubin.d1.p1@direct.nhscnj.nextgenshare.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Maplewood, NJ
- NPI 1750073169
Single Specialty
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Single Specialty
-
- Community/Behavioral Health Agency
- Bayonne, NJ
- NPI 1538665823
Single Specialty
-
- Community/Behavioral Health Agency
- Bayonne, NJ
- NPI 1376020529
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cranford, NJ
- NPI 1518423698
-
- Rehabilitation Clinic/Center
- Cherry Hill, NJ
- NPI 1720121106
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1245975861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 SPRINGFIELD AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402414",
"telephone_number": "848-256-9392",
"fax_number": "908-402-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 SPRINGFIELD AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402414",
"telephone_number": "848-256-9392",
"fax_number": "908-402-4846"
}
],
"practiceLocations": [
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "908-522-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Broad St Ste 606",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071024537",
"country_code": "US",
"telephone_number": "201-822-1161",
"fax_number": "877-485-8918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERUBIN",
"first_name": "MARIE",
"middle_name": "JULINE",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01301900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0847208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.