Individual provider Active NPI

Maria Christina Errazo, APN

  • Gerontology Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1932644812
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00690600 Issued in NJ
Practice address
613 Park Ave
2ND Floor
East Orange, NJ 07017-1905
Phone
(973) 672-2455
Fax
(973) 675-0040
NPI assigned
Dec 30, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00690600 NJ Primary

Addresses

Primary practice location

613 Park Ave
2ND Floor
East Orange, NJ 07017-1905

Mailing address

613 Park Ave
2ND Floor
East Orange, NJ 07017-1905
Phone (973) 672-2455

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
I20170208001141 NJ Practitioner - Nurse Practitioner 2365725801 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians
North Ward Medical Arts LLCGroup PAC ID 3173946175, 11 clinicians
Call to Care LLCGroup PAC ID 0547699514, 8 clinicians
Metropolitan Medical Group LLCGroup PAC ID 1759716590, 10 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians
Senior Healthcare Outreach ProgramGroup PAC ID 5890893713, 12 clinicians

Practice addresses (Care Compare)

346 Roseville Ave
Newark, NJ 07107-1722
Phone (973) 482-7245

485 Mount Prospect Ave
FL 1
Newark, NJ 07104-2903
Phone (973) 485-6433

523 Park Ave
Orange, NJ 07050-1703
Phone (973) 672-8573

570 Park Ave
East Orange, NJ 07017-1904
Phone (973) 672-2455

613 Park Ave
East Orange, NJ 07017-1905
Phone (973) 672-8573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00690600NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Jan 1, 2017 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Jan 1, 2017 Accepting new patients
Metropolitan Medical Group LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
#2
East Orange, NJ 07017

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

292 Lafayette St
Newark, NJ 07105
Phone (866) 525-9018

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1932644812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-2455",
            "fax_number": "973-675-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-2455",
            "fax_number": "973-675-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRAZO",
        "first_name": "MARIA CHRISTINA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00690600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.