Individual provider Active NPI

Luz Maria Tlatehui Zacatzi, APN

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1619660263
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14847300 Issued in NJ
Practice address
1135 Main Ave # 2C
Clifton, NJ 07011-2353
Phone
(973) 928-3388
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14847300 NJ Primary

Addresses

Primary practice location

1135 Main Ave # 2C
Clifton, NJ 07011-2353

Mailing address

1105 Cain CT
Belle Mead, NJ 08502-6422
Phone (215) 805-4317

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
I20230704000482 NJ Practitioner - Nurse Practitioner 0446619894 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fayrouz Pediatric LLC CurrentSince May 23, 2023 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1135 Main Ave
Clifton, NJ 07011
Phone (862) 238-8181

1135 Main Ave
#2C
Clifton, NJ 07011
Phone (850) 890-2747

1135 Main Ave
Ste 2C
Clifton, NJ 07011
Phone (973) 928-3388

540 Straight St
Unit 2E
Paterson, NJ 07503
Phone (973) 928-3388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFEBA

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1619660263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CAIN CT",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085026422",
            "telephone_number": "215-805-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE # 2C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "973-928-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLATEHUI ZACATZI",
        "first_name": "LUZ MARIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14847300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.