MAYRA GUADALUPE APN GERONTOLOGY
NPI 1245108505
Nurse Practitioner - Gerontology in Hackensack, NJ

Q: What is Mayra Guadalupe's NPI number?

The NPI number for Mayra Guadalupe is 1245108505. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Q: What is Mayra Guadalupe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Guadalupe was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 28, 2025

40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL, HACKENSACK, NJ 07601(551) 996-1122 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mayra Guadalupe Apn Gerontology NPPES

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

MAYRA GUADALUPE APN GERONTOLOGY (NPI 1245108505) is an individual gerontology provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15387300) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1245108505

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMAYRA GUADALUPECredential: APN GERONTOLOGY

Location Address40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUILHackensack, NJ 07601

Mailing Address40 Prospect Avenue 2nd Floor David Jurist Research BuilHackensack, NJ 07601 · (551) 996-1122

Phone(551) 996-1122

Sole ProprietorNo

Enumeration DateOctober 28, 2025

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1245108505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15387300

40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL, Hackensack, NJ 07601

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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 Mayra Guadalupe's NPI number?

The NPI number for Mayra Guadalupe is 1245108505. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Mayra Guadalupe located?

Mayra Guadalupe practices at 40 Prospect Avenue 2nd Floor David Jurist Research Buil, Hackensack, NJ 07601. The listed phone number is (551) 996-1122.

What is Mayra Guadalupe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mayra Guadalupe was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.