Individual provider Active NPI

Karin A Marshello-Stosic

  • Family Nurse Practitioner
  • Succasunna, NJ
National Provider Identifier
1124721493
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01423900 Issued in NJ
Practice address
225 Route 10 E Ste 103
Succasunna, NJ 07876-1300
Phone
(973) 584-9984
Fax
(973) 584-9954
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01423900 NJ Primary

Addresses

Primary practice location

225 Route 10 E Ste 103
Succasunna, NJ 07876-1300

Mailing address

225 Route 10 E Ste 103
Succasunna, NJ 07876-1300
Phone (973) 584-9984

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

State licenses

LicenseStateTypeSpecialty
26NJ01423900NJMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: karin.marshello-stosic@604180495925252.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1124721493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E STE 103",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-9984",
            "fax_number": "973-584-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E STE 103",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-9984",
            "fax_number": "973-584-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHELLO-STOSIC",
        "first_name": "KARIN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01423900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.