MARY TUCKER FNP-BC
NPI 1770966038
Nurse Practitioner - Family in Paramus, NJ

Q: What is Mary Tucker's NPI number?

The NPI number for Mary Tucker is 1770966038. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Q: What is Mary Tucker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Tucker was last updated on November 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2015

610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652(973) 563-3368 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Tucker Fnp-bc NPPES

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

MARY TUCKER FNP-BC (NPI 1770966038) is an individual family provider in Paramus, New Jersey, licensed in New Jersey (26NJ00561400) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1770966038

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY TUCKERCredential: FNP-BC

Location Address610 VALLEY HEALTH PLZParamus, NJ 07652-3607

Mailing Address610 Valley Health PlzParamus, NJ 07652-3607 · (973) 563-3368

Phone(973) 563-3368

Sole ProprietorYes

Enumeration DateJuly 6, 2015

Last NPPES UpdateNovember 11, 2016

✔ NPI 1770966038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NJ00561400✔ Licensed in NY · F339578-1

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00561400 (NJ)

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 26NJ00561400 (NJ)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00561400 (NJ)

610 VALLEY HEALTH PLZ, Paramus, NJ 07652

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Other Identifiers 1

Medicare PIN47-4442005NJ

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.

MS. ANNE VITIELLO LCSW

Counselor (Addiction (Substance Use Disorder))