Individual provider Active NPI

Mary Nakhla, MD

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1659784247
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10181000 Issued in NJ
Practice address
650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone
(201) 639-6620
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 289743 NY
Internal Medicine Physician 207R00000X 25MA10181000 NJ Primary

Addresses

Primary practice location

650 From Rd Ste 420
Paramus, NJ 07652-3551

Mailing address

3600 Route 66 FL 3
Neptune, NJ 07753-2645

Other practice location 1

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612000351 NJ Practitioner - Internal Medicine 9032480934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

135 Hwy 35 N
Eatontown, NJ 07724-1813
Phone (848) 300-2210

135 Hwy Route 35
Eatontown, NJ 07724-1813
Phone (732) 696-7654

300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3628
Phone (732) 753-9890

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Nov 6, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Nov 6, 2023 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jun 1, 2018 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7650 River Rd
Ste 230
North Bergen, NJ 07047
Phone (201) 224-8831

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

650 From Rd
Fl 5
Paramus, NJ 07652
Phone (201) 383-6731

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

200 Main St
Ridgefield Park, NJ 07660
Phone (201) 863-3346

74 Oak St
Ridgewood, NJ 07450
Phone (201) 345-3688

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: mnakhla182152@direct.ahsys.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1659784247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 FL 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FROM RD STE 420",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523551",
            "telephone_number": "201-639-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601912",
            "country_code": "US",
            "telephone_number": "845-348-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKHLA",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "289743",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10181000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.