Individual provider Active NPI

Marcela Pekarova, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1689129298
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15019200 Issued in NJ
Practice address
18-20 Lackawanna PLZ
Montclair, NJ 07042-3642
Phone
(646) 229-3765
Fax
(272) 262-6012
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15019200 NJ Primary
Registered Nurse 163W00000X RN669720 PA
Family Nurse Practitioner 363LF0000X SP016576 PA
Family Nurse Practitioner 363LF0000X 26NJ15019200 NJ

Addresses

Primary practice location

18-20 Lackawanna PLZ
Montclair, NJ 07042-3642

Mailing address

567 Westlake Dr
East Stroudsburg, PA 18302-6736
Phone (646) 229-3765

Other practice location 1

18-20 Lackawanna Plz
Montclair, NJ 07042-3642
Phone (646) 229-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161027000422 PA Practitioner - Nurse Practitioner 7113205071 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN669720PAMDRegistered Nurse
SP016576PAMDFamily Nurse Practitioner
26NJ15019200NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahpaffs,LLC CurrentSince Sep 19, 2020 Accepting new patients

Locations

1010 W Lehigh Ave
Philadelphia, PA 19133
Phone (267) 273-7000

601 Taylor St
Nashville, TN 37208
Phone (615) 556-5908

Organizations & group practices 1

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1689129298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 WESTLAKE DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026736",
            "telephone_number": "646-229-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "646-229-3765",
            "fax_number": "272-262-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18-20 Lackawanna Plz",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423642",
            "country_code": "US",
            "telephone_number": "646-229-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEKAROVA",
        "first_name": "MARCELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15019200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN669720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016576",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15019200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.