Juan Paolo Murillo Prudente, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA10711500 Issued in NJ

Practice address

108 Washington St
Hoboken, NJ 07030-4659

Phone

(201) 656-5688

Fax

(201) 656-8975

NPI assigned

May 27, 2016

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Promise Care NJ Home health agency, West New York, NJ, CCN 317064
• Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score

96.09 of 100Reported as apm

Quality

86.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
• Direct secure messaging: juanpaolo.prudente@direct.hackensackmeridian.org

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.

• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys New Jersey LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack University Medical Center

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Palisades Medical Center

  • General Acute Care Hospital
  • North Bergen, NJ
  • NPI 1730692344
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • North Bergen, NJ
  • NPI 1952028532

  Hospital

  Care Compare affiliation
• Promise Care of Hudson County LLC

  dba Promise Care NJ

  • Home Health Agency
  • West New York, NJ
  • NPI 1194206516
  Care Compare affiliation

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1295183549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304659",
            "telephone_number": "201-656-5688",
            "fax_number": "201-656-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDENTE",
        "first_name": "JUAN PAOLO",
        "middle_name": "MURILLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10711500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyce Love Prokopiak, LAC
• Prompt Foot and Ankle Care LLC
• Prompt MD LLC (Prompt MD)
• Prompt Podiatry Medical Management (Premiere Foot and Ankle Specialist)
• Promptmd2 LLC
• Psychiatry of Life
• Psychiatry Today, LLC
• Elizabeth Pubchara
• Masina Elaine Puleo, MS, CCC-SLP
• Pulmonary Diagnostic Services LLC

• Family Medicine Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.

Verify at the official NPI Registry.