Active NPI
Dene McGinnis Grinnell, MSN APRN FNP-C
- Family Nurse Practitioner
- Marlton, NJ
National Provider Identifier
1053089359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP029004
- Practice address
- 733 Route 70 E
Marlton, NJ 08053-2300 - Phone
- (609) 451-2020
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN720105 | PA | |
| Family Medicine Physician | 207Q00000X | 26NJ15125700 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP029004 | PA | Primary |
Addresses
Primary practice location
733 Route 70 E
Marlton, NJ 08053-2300
Mailing address
2337 S Front St
Philadelphia, PA 19148-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN720105 | PA | MD | Registered Nurse |
| 26NJ15125700 | NJ | MD | Family Medicine Physician |
| SP029004 | PA | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAIBCA/Endpoint/IAIBCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1053089359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 S FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 ROUTE 70 E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532300",
"telephone_number": "609-451-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS GRINNELL",
"first_name": "DENE",
"name_prefix": "Mrs.",
"credential": "MSN APRN FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN720105",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ15125700",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP029004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.