Individual provider Active NPI

Maria Purita Yballe, APN, NP-C

  • Nurse Practitioner
  • North Bergen, NJ
National Provider Identifier
1447850490
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01059100 Issued in NJ
Practice address
8100 John F. Kennedy Blvd
North Bergen, NJ 07047
Phone
(201) 866-6770
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01059100 NJ Primary

Addresses

Primary practice location

8100 John F. Kennedy Blvd
North Bergen, NJ 07047

Mailing address

40 Bernice Rd
Belleville, NJ 07109-1508
Phone (973) 704-2146

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027002199 NJ Practitioner - Nurse Practitioner 6103293535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

155 Prospect Ave
Suite 108
West Orange, NJ 07052-4204
Phone (201) 414-9840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01059100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 29, 2022 Accepting new patients
New Jersey Medical and Health Associates,LLC PastSince Nov 1, 2020 Accepting new patients
Neighborhood Medical Center Past Accepting new patients

Locations

36 Newark Ave
Ste 300
Belleville, NJ 07109
Phone (973) 751-7322

36 Newark Ave
Ste 326
Belleville, NJ 07109
Phone (201) 759-6896

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

50 Washington Ave
Belleville, NJ 07109
Phone (201) 464-5386

310 Central Ave
Ste 100
East Orange, NJ 07018
Phone (862) 520-3104

120 Park End Pl
East Orange, NJ 07018
Phone (973) 447-8882

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7709

8100 Kennedy Blvd
#F
North Bergen, NJ 07047
Phone (201) 866-6770

155 Prospect Ave
Ste 108
West Orange, NJ 07052
Phone (973) 736-0081

588 Eagle Rock Ave
Ste 1
West Orange, NJ 07052
Phone (973) 674-1414

Organizations & group practices 3

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 2

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1447850490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BERNICE RD",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091508",
            "telephone_number": "973-704-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 JOHN F. KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-866-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBALLE",
        "first_name": "MARIA",
        "middle_name": "PURITA",
        "credential": "APN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01059100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.