Mary Marquis

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP012815 Issued in PA

Practice address

669 E Myrtle Ave
Trevose, PA 19053-4640

Phone

(215) 364-8412

NPI assigned

Apr 1, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1104244623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 PATTY LN",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 E MYRTLE AVE",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534640",
            "telephone_number": "215-364-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP012815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malvern Institute
• Margiotti & Kroll Pediatrics, P.C.
• Gerard Anthony Margiotti Jr.
• Gerard Anthony Margiotti III, D.O.
• Mark a Miller and Associates Inc
• Kathleen Mascaro, M.ED., LBS
• Thor Mataya, CPOA
• Teresa Mathew, M.D.
• Luciana Genevieve Mayo, LBS
• Julia Meehan, LPC

• Gerontology Nurse Practitioner in Trevose, PA
• Providers in Trevose, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.