Active NPI
Michele Rose Marczak, APN, FNP-BC
- Family Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1083380117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01178900
- Practice address
- 16 Midland Ave
Freehold, NJ 07728-1430 - Phone
- (908) 433-9855
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01178900 | NJ | Primary |
Addresses
Primary practice location
16 Midland Ave
Freehold, NJ 07728-1430
Mailing address
16 Midland Ave
Freehold, NJ 07728-1430
Phone (908) 433-9855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1083380117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MIDLAND AVE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281430",
"telephone_number": "908-433-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MIDLAND AVE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281430",
"telephone_number": "908-433-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCZAK",
"first_name": "MICHELE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "APN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01178900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.