Jocelyn Patricia Mariani, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Moonachie, NJ

NPI 1780354563 · NPPES record last updated Dec 7, 2021

Key facts

NPI
1780354563
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
26NJ01202400 (NJ)
Practice address
250 Moonachie Rd Ste 100
Moonachie, NJ 07074-1322
Phone
(201) 596-6262
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211209001492 NJ Practitioner - Nurse Practitioner 3870983620 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Pediatrics LLC Current
since Sep 1, 2022
Accepting new patients
Baker Health Medicine PLLC Past
since Sep 1, 2022
Accepting new patients

Locations

855 Valley Rd
Ste 112
Clifton, NJ 07013
Phone (551) 355-1200

34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200

250 Moonachie Rd
Ste 100
Moonachie, NJ 07074
Phone (201) 596-6262

250 Moonachie Rd
Moonachie, NJ 07074
Phone (201) 596-6262

510 Driggs Ave
Brooklyn, NY 11211
Phone (212) 315-8233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jocelyn.mariani.1@25246.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01202400 NJ Yes

Addresses

Primary practice location

250 Moonachie Rd Ste 100
Moonachie, NJ 07074-1322

Mailing address

112 Portside Dr
Edgewater, NJ 07020-1147
Phone (518) 605-4214

Other names

  • Jocelyn Patricia Mariani Former name

Other providers in Moonachie, NJ

All providers in Moonachie, NJ · Family Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.