Marwin Samson Fernandez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR14950200 Issued in NJ

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 850-6929

NPI assigned

Dec 24, 2021

Last updated

Dec 24, 2021By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1164182697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SANDPIPER DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403037",
            "telephone_number": "732-910-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-850-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARWIN",
        "middle_name": "SAMSON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14950200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lynn Fass, MPT
• Feca Care Support Service Inc
• Feet N Beyond of New Jersey Professional Association
• Sara Fenton
• Jacqueline Ann Fernandez, MA, LPC, LCADC
• Linda Festante, RD
• Teresa Marie Fetherman, LCADC
• Gregory R Findura, D.C.
• Barbara P Fiume, MSW, LCSW, BCD
• Flannery Physical Therapy Limited Partnership (Physical Therapy Plus)

• Registered Nurse in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; 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.