Individual provider Active NPI

Maria Avila

  • Adult Health Nurse Practitioner
  • Union City, NJ
National Provider Identifier
1902496904
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00946400 Issued in NJ
Practice address
500 Summit Ave
Union City, NJ 07087-3421
Phone
(201) 792-1600
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diligent Medical Care PC 4 clinicians

Practice addresses (Care Compare)

570 -574
Union City, NJ 07087-2434

570 32ND St
Union City, NJ 07087-2434
Phone (201) 758-7250

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230221000850 NJ Practitioner - Nurse Practitioner 3476705849 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00946400NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care One Medical Services CurrentSince Jan 12, 2007 Accepting new patients
Fil-Am Ambulance LLC CurrentSince Nov 1, 2012 Accepting new patients
Diligent Medical Care PC CurrentSince Mar 3, 2025 Accepting new patients
Advanced Garden State Cardiology LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

570 32nd St
Union City, NJ 07087
Phone (201) 758-7250

433 60th St
Fl 1
West New York, NJ 07093
Phone (201) 770-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBACCA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00946400 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Summit Ave
Union City, NJ 07087-3421

Mailing address

2 Jerome CT
Belleville, NJ 07109-1652
Phone (973) 809-3939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2021.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1902496904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JEROME CT",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091652",
            "telephone_number": "973-809-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873421",
            "telephone_number": "201-792-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00946400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.