Individual provider Active NPI

Anel Iveth Marquez, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Woodland Park, NJ
National Provider Identifier
1295498251
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01210100 Issued in NJ
Practice address
205 Browertown Rd Ste 205
Woodland Park, NJ 07424-2610
Phone
(973) 569-6112
Fax
(973) 837-6780
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01210100 NJ Primary

Addresses

Primary practice location

205 Browertown Rd Ste 205
Woodland Park, NJ 07424-2610

Mailing address

94 Spencer Ave
Clifton, NJ 07013-2831
Phone (973) 704-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407000303 NJ Practitioner - Nurse Practitioner 6406221340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Getty Ave
BLDG 400
Paterson, NJ 07503-2806

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Dec 24, 2022 Accepting new patients
St. Joseph's Healthcare, Inc. Past Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

220 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-8090

220 Hamburg Tpke
Ste 3
Wayne, NJ 07470
Phone (973) 942-0040

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

205 Browertown Rd
Ste 205
Woodland Park, NJ 07424
Phone (973) 569-6112

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1295498251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SPENCER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132831",
            "telephone_number": "973-704-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD STE 205",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242610",
            "telephone_number": "973-569-6112",
            "fax_number": "973-837-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ANEL",
        "middle_name": "IVETH",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01210100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

Verify at the official NPI Registry.