Active NPI
Karina Marin, PHYSICIAN ASSISTANT
- Physician Assistant
- Secaucus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00492500
- Practice address
- 55 Meadowlands Pkwy
Secaucus, NJ 07094-2977 - Phone
- (201) 370-0449
- Fax
- (434) 423-4466
- NPI assigned
- Sep 27, 2018
- Last updated
- May 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00492500 | NJ | Primary |
Addresses
Primary practice location
55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Mailing address
7 Van Eyck CT
Lyndhurst, NJ 07071-2714
Phone (201) 921-8649
Other practice location 1
7 Van Eyck Ct
Lyndhurst, NJ 07071-2714
Phone (201) 370-0449
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Forward Health Solutions LLC | Physician Assistant | Current | Accepting new patients |
| Palisades House Physicians, PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 8
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.
-
- Physician Assistant
- Lyndhurst, NJ
- NPI 1881445138
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1669117479
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1548809221
-
- Internal Medicine Physician
- North Bergen, NJ
- NPI 1558475087
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Pulmonary Disease Physician
- North Bergen, NJ
- NPI 1689603227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1548745326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 VAN EYCK CT",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070712714",
"telephone_number": "201-921-8649",
"fax_number": "434-423-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEADOWLANDS PKWY",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942977",
"telephone_number": "201-370-0449",
"fax_number": "434-423-4466"
}
],
"practiceLocations": [
{
"address_1": "7 Van Eyck Ct",
"address_purpose": "LOCATION",
"city": "Lyndhurst",
"state": "NJ",
"postal_code": "070712714",
"country_code": "US",
"telephone_number": "201-370-0449",
"fax_number": "434-423-4466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIN",
"first_name": "KARINA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00492500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.