Individual provider Active NPI

Emma-Ruth Palileo Paz-Querubin, APN

  • Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1790015659
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00191900 Issued in NJ
Practice address
705 White Horse Rd
Suite D105
Voorhees, NJ 08043
Phone
(856) 435-1777
Fax
(856) 435-0696
NPI assigned
Dec 28, 2009
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00191900 NJ Primary

Addresses

Primary practice location

705 White Horse Rd
Suite D105
Voorhees, NJ 08043

Mailing address

Comprehensive Cancer & Hematology Specialists P.C.
705 White Horse Rd Suite D105
Voorhees, NJ 08043
Phone (856) 435-1777

Other practice location 1

385 Tremont Avenue
East Orange, NJ 07018
Phone (973) 676-1000

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
I20110202000386 NJ Practitioner - Nurse Practitioner 6305026733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Cancer and Hematology Specialists, P.C.Group PAC ID 3476561010, 3 clinicians

Practice addresses (Care Compare)

705 White Horse Rd
Suite D105
Voorhees, NJ 08043-2468
Phone (856) 435-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00191900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Oct 20, 2014 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 20, 2014 Accepting new patients
Comprehensive Cancer & Hematology Specialists, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Advocare , LLC PastSince Sep 1, 2022 Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince May 1, 2021 Accepting new patients

Locations

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

705 White Horse Rd
Ste D105
Voorhees, NJ 08043
Phone (856) 435-1777

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70698

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1790015659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE CANCER & HEMATOLOGY SPECIALISTS P.C.",
            "address_2": "705 WHITE HORSE RD SUITE D105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-435-1777",
            "fax_number": "856-435-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "SUITE D105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-435-1777",
            "fax_number": "856-435-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Tremont Avenue",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "07018",
            "country_code": "US",
            "telephone_number": "973-676-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZ-QUERUBIN",
        "first_name": "EMMA-RUTH",
        "middle_name": "PALILEO",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00191900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.