MARIAM WALLIZADEH NP
NPI 1740828169
Nurse Practitioner - Family in Wayne, NJ
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mariam Wallizadeh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 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.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Mariam Wallizadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Wallizadeh reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ). Each 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 Mariam Wallizadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariam Wallizadeh accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas and Community First 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mariam Wallizadeh, NP · NPI 1740828169
Family physician in Wayne, New Jersey. Individual provider, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1740828169 (Entity type: Individual)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00978800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2440 HAMBURG TPKE, Wayne, NJ 07470-6226
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); Minuteclinic Diagnostic Of New Jersey LLC (NPI 1053353615, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740828169) · Data from the CMS NPPES public registry.