Individual provider Active NPI

Erik Marulanda

  • Physician Assistant
  • Jersey City, NJ
National Provider Identifier
1881305654
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
324 Palisade Ave
Jersey City, NJ 07307-1791
Phone
(201) 656-0001
Fax
(201) 656-0093
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NJ Primary

Addresses

Primary practice location

324 Palisade Ave
Jersey City, NJ 07307-1791

Mailing address

324 Palisade Ave
Jersey City, NJ 07307-1791
Phone (201) 656-0001

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
I20240924000666 NJ Practitioner - Physician Assistant 3476094095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

324 Palisade Ave
FL 2
Jersey City, NJ 07307-1791
Phone (201) 386-1400

46 Essex St
Jersey City, NJ 07302-4508
Phone (201) 360-2228

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2024 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Riverside Medical Group Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Interoperability endpoints

  • Direct secure messaging: emarulanda76983@direct.optum.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1881305654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071791",
            "telephone_number": "201-656-0001",
            "fax_number": "201-656-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071791",
            "telephone_number": "201-656-0001",
            "fax_number": "201-656-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARULANDA",
        "first_name": "ERIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.