THEA DE GUZMAN INTAL FNP-C
NPI 1093596744
Nurse Practitioner - Family in Belleville, NJ

Active since October 09, 2023PECOS EnrolledAccepts Medicare Assignment
36 NEWARK AVE STE 300, BELLEVILLE, NJ 07109(973) 873-0195 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thea De Guzman Intal Fnp-c NPPES

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

THEA DE GUZMAN INTAL FNP-C (NPI 1093596744) is an individual family provider in Belleville, New Jersey, licensed in New Jersey (26NJ14933100) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains a secondary practice location in East Orange.

NPPES Registry Identity

NPI1093596744
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHEA DE GUZMAN INTALCredential: FNP-C
Location Address36 NEWARK AVE STE 300Belleville, NJ 07109-4122
Mailing Address36 Newark Ave Ste 300Belleville, NJ 07109-4122 · (973) 873-0195
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2023
Enumeration DateOctober 9, 2023
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1093596744 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 NJ · 26NJ14933100
36 NEWARK AVE STE 300, Belleville, NJ 07109

Other Names 1

Former Name (1)Thea De Guzman Rn

Secondary Practice Location 1

Location 1310 Central Ave Ste 100East Orange, NJ 07018-2838 · Phone (862) 520-3104

Other Identifiers 1

Medicaid0960691NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thea De Guzman Intal 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 ID1557719325
PECOS Enrollment IDI20231205001088
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services52 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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 3

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

Internal Medicine
36 NEWARK AVE STE 300
BELLEVILLE, NJ 07109
Nurse Practitioner (Family)
36 NEWARK AVE STE 300
BELLEVILLE, NJ 07109
Nurse Practitioner (Family)
36 NEWARK AVE STE 300
BELLEVILLE, NJ 07109

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 Thea Intal's NPI number?

The NPI number for Thea Intal is 1093596744. It was assigned to this individual provider in the NPPES registry on October 9, 2023. The provider is also known as Thea De Guzman Rn.

Where is Thea Intal located?

Thea Intal practices at 36 Newark Ave Ste 300, Belleville, NJ 07109. The listed phone number is (973) 873-0195.

What is Thea Intal's specialty?

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

Is Thea Intal enrolled in Medicare?

Yes. Thea Intal 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.

Is Thea Intal affiliated with any hospitals?

According to CMS data, Thea Intal is affiliated with Clara Maass Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Thea Intal was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.