Marla Guzman, MD - Medicare Pediatrics in New Providence, NJ

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Marla Guzman, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in New Providence, New Jersey. Her current practice location is 890 Mountain Ave, New Providence, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 739-3235.

Marla Guzman is licensed to practice in New Jersey (license number 25MA10874600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285052662.

Contact Information

Marla Guzman, MD
890 Mountain Ave,
New Providence, NJ 07974-1218
(908) 739-3235
Not Available

Map and Direction




Physician's Profile

Full NameMarla Guzman
GenderFemale
SpecialityPediatrics - Pediatric Rheumatology
Location890 Mountain Ave, New Providence, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285052662
  • Provider Enumeration Date: 04/02/2014
  • Last Update Date: 10/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022353531
  • Enrollment ID: I20201029000401

Medical Identifiers

Medical identifiers for Marla Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285052662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0216XPediatrics - Pediatric Rheumatology 25MA10874600 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marla Guzman allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marla Guzman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marla Guzman, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Marla Guzman, MD
890 Mountain Ave,
New Providence, NJ 07974-1218

Ph: (908) 739-3235

Reviews and Comments


Pediatrics Doctors in New Providence, NJ

Mr. Steven Moskowitz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0400    Fax: 908-508-0370
Dr. Johanna R. Kaufman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8601    Fax: 908-277-8706
Dr. Lorraine Raagas Formanes, DNP, APN, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0400    
Adrianna Marie Spinelli, APN
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 180 South St, New Providence, NJ 07974
Phone: 908-673-7505    Fax: 908-464-4159
Dr. Kathleen M Cuddihy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 180 South St, New Providence, NJ 07974
Phone: 908-771-9824    Fax: 908-771-9674
Ms. Kathleen Laura Chin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0400    Fax: 908-508-0197

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.