Mariana G Metry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00786400 Issued in NJ

Practice address

228 Lafayette St
Newark, NJ 07105-1815

Phone

(973) 789-8111

NPI assigned

Jun 21, 2023

Sex

Female

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

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint James Health, IncGroup PAC ID 7214237916, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmetry267619@epicdirect.rwjbh.org

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.

• Saint James Health Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1225409675
  Medicare reassignment Care Compare group
• Saint James Health, Inc

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1942946736
  NPD
• Saint James Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1609657659
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1851076368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 LAFAYETTE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051815",
            "telephone_number": "973-789-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LAFAYETTE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051815",
            "telephone_number": "973-789-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METRY",
        "first_name": "MARIANA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00786400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Messiha
• Kathleen Mary Messina, RN, APN-C
• Metro Pharmacy II LLC
• Metro Pharmacy II LLC
• Metropolitan Center for Human Services
• Biakai Catharine Meye, PMHNP
• Karina I Meythaler Falcones
• Nkiruka Chika Mgbemena, MSN, RN.
• MH-NJ, Professional Services P.C.
• Tariq M Mian, M.D.

• Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.