Active NPI
Maryelena Vargas, FNP-BC, PHD, RN
- Family Nurse Practitioner
- West New York, NJ
National Provider Identifier
1992187736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00825800
- Practice address
- 5301 Broadway
West New York, NJ 07093-2622 - Phone
- (201) 866-9320
- NPI assigned
- Jun 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00825800 | NJ | Primary |
Addresses
Primary practice location
5301 Broadway
West New York, NJ 07093-2622
Mailing address
5301 Broadway
West New York, NJ 07093-2622
Phone (201) 866-9320
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190801002672 | NJ | Order and Referring Only - Nurse Practitioner | 8123354875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1992187736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 BROADWAY",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932622",
"telephone_number": "201-866-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 BROADWAY",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932622",
"telephone_number": "201-866-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "MARYELENA",
"name_prefix": "Dr.",
"credential": "FNP-BC, PHD, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-28",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00825800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.