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

Mayra Guadalupe, APNGERONTOLOGY

Individual provider Gerontology Nurse Practitioner · NPI 1245108505

Mayra Guadalupe, APNGERONTOLOGY is a Gerontology Nurse Practitioner in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

40 Prospect Avenue 2nd Fl David Jurist Research Buil
Hackensack, NJ 07601
Phone: (551) 996-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ15387300 (NJ)

Record details

NPI number1245108505
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNGERONTOLOGY
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 28, 2025

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