Maria Victoria Pinilla, NURSE PRACTITIONER-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ01069400 Issued in NJ

Practice address

333 Mount Hope Ave
Suite 150
Rockaway, NJ 07866-1654

Phone

(974) 895-6604

NPI assigned

Dec 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• Ahs Hospital Corp

  • Clinical Medical Laboratory
  • Morristown, NJ
  • NPI 1871162834
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1760078190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE",
            "address_2": "SUITE 150",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661654",
            "telephone_number": "974-895-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINILLA",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "NURSE PRACTITIONER-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01069400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.atlantichealth.org",
            "affiliation": "N",
            "endpointDescription": "AHS web net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Mount Hope Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078661654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "h",
            "affiliation": "N",
            "address_1": "333 Mount Hope Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078661654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.atlantichealth.org",
            "affiliation": "N",
            "address_1": "333 Mount Hope Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078661654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "atlantichealth.org",
            "affiliation": "N",
            "address_1": "333 Mount Hope Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078661654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittny Perna, LSW
• Roxann Mary Peters, OT
• Francis Petrillo, MSW, LCSW, ACSW
• Ronald A Petrucelli, BCBA
• Erika Pilato, LPC
• Maria Jose Plasencia Izurieta, LAC
• Polaris Specialty Pharmacy LLC
• Polaris Specialty Pharmacy LLC
• Breanna Polise
• Anthony Frank Polito Jr., M.S.W

• Adult Health Nurse Practitioner in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.