MARCY ROSHELLI NPI 1518152453

NPI Information

NPI: 1518152453
Provider Name: MARCY ROSHELLI
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1301 ROUTE 72 W
SUITE 250
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 312-9269
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MARCY ROSHELLI is a psychiatric/mental health nurse practitioner in Manahawkin, NJ. MARCY ROSHELLI NPI is 1518152453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 ROUTE 72 W
SUITE 250
MANAHAWKIN, NJ
ZIP 08050-483
Phone: (609) 312-9269
Fax: (609) 207-4102

The provider's authorized official is Marcella Roshelli .
The authorized official title is Owner and has the following contact phone number (609) 312-9269.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NN05675900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	034726	MEDICARE PIN
2	8092605	MEDICAID	NEW JERSEY
3	S97095	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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