Mark Angelo Lladas, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00508700 Issued in NJ

Practice address

961 Garfield Ave
Jersey City, NJ 07304-2733

Phone

(201) 915-2294

NPI assigned

Mar 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1366869778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042733",
            "telephone_number": "201-915-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042733",
            "telephone_number": "201-915-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLADAS",
        "first_name": "MARK ANGELO",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306793",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00508700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Sure Medical Supplies LLC
• Live the Right Way Foundation
• Livo Medical LLC
• Livs Wigs LLC
• LK and Sons
• Angelo Llanes, MSN, CRNA
• Melanie-Ann Llanes, PT
• Christopher V Llanos, P.T.
• Ramon Llarena, M.D.
• Graciela Fernanda Loaiza Roque, DVM

• Adult Health Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.