Marvin Basilio Azares, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00294900 Issued in NJ

Practice address

30 Prospect Ave
Hackensack, NJ 07601-1914

Phone

(201) 996-2816

Fax

(201) 343-9823

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mazares1573464@nychhc.direct-ci.com

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.

• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  NPD
• Cogent Healthcare of New Jersey, PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1629304290
  NPD
• Robert Wood Johnson Medical Associates

  • Hospitalist Physician
  • New Brunswick, NJ
  • NPI 1902848625
  NPD
• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  NPD
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  NPD

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1811206451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ETHEL AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061527",
            "telephone_number": "321-276-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2816",
            "fax_number": "201-343-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZARES",
        "first_name": "MARVIN",
        "middle_name": "BASILIO",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00294900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip I Ayeni, MD
• Zainab Ayoub
• Suzanne Ayoubi, MD
• Mina N Ayyad, MD
• Farjana Azad, AGACNP-BC
• Azin Azizi, M.D.
• Aafreen Azmi
• Carolin Azmy, RPH
• Ofer Azoulay, MD
• B.a.Y.S RVP Billing

• Acute Care Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.