Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariam Wallizadeh, NP

Individual provider Family Nurse Practitioner · NPI 1740828169

Mariam Wallizadeh, NP is a Nurse Practitioner in Wayne, New Jersey. Qualified in 2019, 7 years ago. Practices with Hackensack Meridian Health Medical Group - Primary Care PC, a 364-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2440 Hamburg Tpke
Wayne, NJ 07470-6226
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 Route 35, Eatontown, NJ 07724-1813 — (732) 696-7654

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00978800 (NJ)

Record details

NPI number1740828169
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hackensack Meridian Health Medical Group - Primary Care Pc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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