MARIAM WALLIZADEH NP
NPI 1740828169
Nurse Practitioner - Family in Wayne, NJ

Active since December 16, 2019PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
2440 HAMBURG TPKE, WAYNE, NJ 07470(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2024, Mar 1, 2022, Dec 16, 2019 (3 updates tracked since 2019).

About Mariam Wallizadeh Np NPPES

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

MARIAM WALLIZADEH NP (NPI 1740828169) is an individual family provider in Wayne, New Jersey, licensed in New Jersey (26NJ00978800) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eatontown, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740828169
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAM WALLIZADEHCredential: NP
Location Address2440 HAMBURG TPKEWayne, NJ 07470-6226
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 16, 2019
Last NPPES UpdateJune 18, 20263 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1740828169 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 · 26NJ00978800
2440 HAMBURG TPKE, Wayne, NJ 07470

Secondary Practice Location 1

Location 1135 Route 35Eatontown, NJ 07724-1813 · Phone (732) 696-7654

Accepted Insurance

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

Mariam Wallizadeh Np 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 ID4486089216
PECOS Enrollment IDI20200124000029
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

Other Providers at the Same Location NPPES 19

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

Pharmacist
2440 HAMBURG TPKE
WAYNE, NJ 07470
Nurse Practitioner (Family)
2440 HAMBURG TPKE, NJ003
WAYNE, NJ 07470
Nurse Practitioner (Family)
2440 HAMBURG TPKE
WAYNE, NJ 07470
Pharmacy
2440 HAMBURG TPKE
WAYNE, NJ 07470
Nurse Practitioner (Family)
2440 HAMBURG TPKE
WAYNE, NJ 07470
Pharmacist
2440 HAMBURG TPKE
WAYNE, NJ 07470
Pharmacist
2440 HAMBURG TPKE
WAYNE, NJ 07470
Pharmacist
2440 HAMBURG TPKE
WAYNE, NJ 07470

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 Mariam Wallizadeh's NPI number?

The NPI number for Mariam Wallizadeh is 1740828169. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Mariam Wallizadeh located?

Mariam Wallizadeh practices at 2440 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (866) 389-2727.

What is Mariam Wallizadeh's specialty?

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

Is Mariam Wallizadeh enrolled in Medicare?

Yes. Mariam Wallizadeh 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.

What insurance does Mariam Wallizadeh accept?

Health plans from Blue Cross and Blue Shield of Texas list Mariam Wallizadeh 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 Mariam Wallizadeh was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.