MRS. MARTHA Y GUARDIA APN
NPI 1922791599
Nurse Practitioner - Gerontology in Wayne, NJ

Active since May 31, 2023PECOS EnrolledAccepts Medicare Assignment
246 HAMBURG TPKE STE 207, WAYNE, NJ 07470(973) 653-3365 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, May 31, 2023 (2 updates tracked since 2023).

About Mrs. Martha Y Guardia Apn NPPES

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

MRS. MARTHA Y GUARDIA APN (NPI 1922791599) is an individual gerontology provider in Wayne, New Jersey, licensed in New Jersey (26NJ01474700) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922791599
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. MARTHA Y GUARDIACredential: APN
Location Address246 HAMBURG TPKE STE 207Wayne, NJ 07470-2160
Mailing Address29 West StElmwood Park, NJ 07407-2142 · (908) 340-7171
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 31, 2023
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1922791599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NJ · 26NJ01474700
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ01474700 (NJ)
246 HAMBURG TPKE STE 207, Wayne, NJ 07470

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

Mrs. Martha Y Guardia Apn 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 ID5890140099
PECOS Enrollment IDI20231009000208
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services41 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
31 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services17 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
14 services13 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Nurse Practitioner
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
WAYNE, NJ 07470
Internal Medicine (Nephrology)
246 HAMBURG TPKE STE 207
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 Martha Guardia's NPI number?

The NPI number for Martha Guardia is 1922791599. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Martha Guardia located?

Martha Guardia practices at 246 Hamburg Tpke Ste 207, Wayne, NJ 07470. The listed phone number is (973) 653-3365.

What is Martha Guardia's specialty?

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

Is Martha Guardia enrolled in Medicare?

Yes. Martha Guardia 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 Martha Guardia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Martha Guardia 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 Martha Guardia affiliated with any hospitals?

According to CMS data, Martha Guardia is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Martha Guardia was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.