Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY PERMIAKOV APRN, FNP-C
NPI 1073319612
Nurse Practitioner - Family in Edison, NJ

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
80 JAMES ST FL 3, EDISON, NJ 08820(732) 202-8071 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Jul 13, 2026, Mar 17, 2025 and 1 more (4 updates tracked since 2025).

About Mary Permiakov Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PERMIAKOV APRN, FNP-C (NPI 1073319612) is an individual family provider in Edison, New Jersey, licensed in Florida (11037908) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sarasota, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073319612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY PERMIAKOVCredential: APRN, FNP-C
Location Address80 JAMES ST FL 3Edison, NJ 08820-3938
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688 · (917) 940-0151
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 24, 2025
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1073319612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11037908
80 JAMES ST FL 3, Edison, NJ 08820

Other Names 1

Former Name (1)Mary Markovic

Secondary Practice Location 1

Location 14848 Wood Pointe WaySarasota, FL 34233-3526 · Phone (917) 940-0151

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Permiakov Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072034156
PECOS Enrollment IDI20250305001890
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Permiakov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
10150 HIGHLAND MANOR DR STE 205
Tampa, FL 33610
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
80 JAMES ST FL 3
EDISON, NJ 08820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Permiakov's NPI number?

The NPI number for Mary Permiakov is 1073319612. It was assigned to this individual provider in the NPPES registry on February 24, 2025. The provider is also known as Mary Markovic.

Where is Mary Permiakov located?

Mary Permiakov practices at 80 James St Fl 3, Edison, NJ 08820. The listed phone number is (732) 202-8071.

What is Mary Permiakov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Permiakov enrolled in Medicare?

Yes. Mary Permiakov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Permiakov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Permiakov reassigns Medicare benefits to Bluestone Physician Services Southeast LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Permiakov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Permiakov was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.