JUAN PAOLO MURILLO PRUDENTE M.D.
NPI 1295183549
Family Medicine in Hoboken, NJ

Q: What is Juan Paolo Prudente's NPI number?

The NPI number for Juan Paolo Prudente is 1295183549. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Juan Paolo Prudente's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

108 WASHINGTON ST, HOBOKEN, NJ 07030(201) 656-5688(201) 656-8975 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Juan Paolo Murillo Prudente M.d. NPPES

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

JUAN PAOLO MURILLO PRUDENTE M.D. (NPI 1295183549) is an individual family medicine provider in Hoboken, New Jersey, licensed in New Jersey (25MA10711500) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295183549

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJUAN PAOLO MURILLO PRUDENTECredential: M.D.

Location Address108 WASHINGTON STHoboken, NJ 07030-4659

Mailing Address308 Willow AveHoboken, NJ 07030-3808

Phone(201) 656-5688

Fax(201) 656-8975

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 27, 2016

Last NPPES UpdateNovember 27, 2019

✔ NPI 1295183549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA10711500

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

108 WASHINGTON ST, Hoboken, NJ 07030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Juan Paolo Murillo Prudente M.d. 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 ID3971939612

PECOS Enrollment IDI20200129000187

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 Juan Paolo Prudente reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC

28 mi

Family Medicine

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
689 clinicians in this Medicare group

NPI 1336203538 (732) 807-0800

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

Areas of Expertise CMS Part B claims 7

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.

430 services152 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

207 services136 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

109 services109 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

31 services30 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310003

Location7600 River RdNorth Bergen, NJ 07047 · Hudson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers17 claims37 services$5.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. VITO PETRUZZELLA DPM

Podiatrist (Foot & Ankle Surgery)

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 659-5222

DR. OLUFUNKE G OLUSHOGA MD

Internal Medicine

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 656-5688

LEONARD MICHAEL BALACCO M.D.

Family Medicine

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 656-5688

PROMPT PODIATRY MEDICAL MANAGEMENT

Preferred Provider Organization

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 659-5222

HOBOKEN FAMILY PRACTICE, PC

Family Medicine

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 656-5688

KARNIK PATEL DO

Internal Medicine

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 656-5688

PROMPT FOOT AND ANKLE CARE LLC

Podiatrist (Foot & Ankle Surgery)

108 WASHINGTON ST, 108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 659-5222

DR. ZAIN NAGARIA MD

Family Medicine

108 WASHINGTON ST
HOBOKEN, NJ 07030

Hudson County (201) 656-5688

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 Juan Paolo Prudente's NPI number?

The NPI number for Juan Paolo Prudente is 1295183549. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Juan Paolo Prudente located?

Juan Paolo Prudente practices at 108 Washington St, Hoboken, NJ 07030. The listed phone number is (201) 656-5688.

What is Juan Paolo Prudente's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juan Paolo Prudente enrolled in Medicare?

Yes. Juan Paolo Prudente 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 Juan Paolo Prudente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Paolo Prudente reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Juan Paolo Prudente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Paolo Prudente accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Juan Paolo Prudente 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.

Is Juan Paolo Prudente affiliated with any hospitals?

According to CMS data, Juan Paolo Prudente is affiliated with Hackensack University Medical Center and Palisades Medical Center.

When was this NPI record last updated?

The NPPES record for Juan Paolo Prudente was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.