Marietta Dublin-Pavon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

P00517100 Issued in NJ

Practice address

106 W Palisade Ave
Englewood, NJ 07631-2633

Phone

(201) 503-1000

Fax

(201) 568-4300

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Alex R Pavon MD PC

  • Primary Care Clinic/Center
  • Englewood, NJ
  • NPI 1407028657
  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1437585312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312633",
            "telephone_number": "201-503-1000",
            "fax_number": "201-568-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312633",
            "telephone_number": "201-503-1000",
            "fax_number": "201-568-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBLIN-PAVON",
        "first_name": "MARIETTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "P00517100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Friedrich Rubin Panella and Sapienza, LLP
• DRS. Forte, Schleider & Attas, PA
• Drug Fair Group, Inc.
• David M Dubin, MD
• Yisrael Dubin
• Marylu Dunn, DPT
• Kiyana Sifika Dunston
• Lucien Laurier Duquette, PHD
• Noelia Duran Abreu
• Charles J Dutkowsky, DO

• Family Nurse Practitioner in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.