Individual provider Active NPI

Maria Belen Jumalon, APN

  • Gerontology Nurse Practitioner
  • Glen Ridge, NJ
National Provider Identifier
1497341440
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01079200 Issued in NJ
Practice address
946 Bloomfield Ave
Glen Ridge, NJ 07028-1308
Phone
(973) 743-1121
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01079200 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ01079200 NJ Primary

Addresses

Primary practice location

946 Bloomfield Ave
Glen Ridge, NJ 07028-1308

Mailing address

47 Victor Ave
Glen Ridge, NJ 07028-2016

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
I20210201000197 NJ Practitioner - Nurse Practitioner 8022422153 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Apr 28, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 28, 2024 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 4, 2021 Accepting new patients

Locations

946 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 376-3259

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

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Ste 144
Livingston, NJ 07039
Phone (973) 322-2200

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

Interoperability endpoints

  • Direct secure messaging: mjumalon261713@epicdirect.rwjbh.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1497341440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 VICTOR AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281308",
            "telephone_number": "973-743-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMALON",
        "first_name": "MARIA",
        "middle_name": "BELEN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01079200",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01079200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.