DR. MARIETTE DERMENDJIAN M.D.
NPI 1194745968
Pediatrics - Neonatal-Perinatal Medicine in Newark, NJ
About Dr. Mariette Dermendjian M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIETTE DERMENDJIAN M.D. (NPI 1194745968) is an individual neonatal-perinatal medicine provider in Newark, New Jersey, licensed in New Jersey (MA60095) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mariette Dermendjian M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariette Dermendjian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Mariette Dermendjian's NPI number?
The NPI number for Mariette Dermendjian is 1194745968. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Mariette Dermendjian located?
Mariette Dermendjian practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7203.
What is Mariette Dermendjian's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Mariette Dermendjian enrolled in Medicare?
Yes. Mariette Dermendjian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariette Dermendjian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariette Dermendjian reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Mariette Dermendjian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariette Dermendjian accept?
Health plans from Oscar Health list Mariette Dermendjian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mariette Dermendjian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Mariette Dermendjian, M.D. · NPI 1194745968
Neonatal-Perinatal Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1194745968 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** MA60095 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN F92217; Medicare ID-Type Unspecified 7847904
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Source: [NPI Profile](https://npiprofile.com/npi/1194745968) · Data from the CMS NPPES public registry.