Individual provider Active NPI

Christina Marcano, APN

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1174178909
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00975200 Issued in NJ
Practice address
3 Cooper PLZ RM 403
Camden, NJ 08103-1438
Phone
(856) 342-2439
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NR11739700 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00975200 NJ
Nurse Practitioner 363L00000X 26NJ00975200 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 403
Camden, NJ 08103-1438

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

390 N Broadway
Pennsville, NJ 08070-1253
Phone (856) 678-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107000955 NJ Practitioner - Nurse Practitioner 2264864594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00975200NJMDPrimary Care Nurse Practitioner
26NR11739700NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine PC CurrentSince Apr 1, 2021 Accepting new patients
Cooper Family Medicine, PC CurrentSince Apr 1, 2021 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Dec 1, 2020 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Dec 1, 2020 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

401 Haddon Ave
Camden, NJ 08103
Phone (856) 757-7904

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

390 N Broadway
Ste 100
Pennsville, NJ 08070
Phone (609) 678-6411

390 N Broadway
Pennsville, NJ 08070
Phone (856) 678-6411

6015 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

Interoperability endpoints

  • Direct secure messaging: cmarcano3266@direct.cooperhealth.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1174178909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 403",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Pennsville",
            "state": "NJ",
            "postal_code": "080701253",
            "country_code": "US",
            "telephone_number": "856-678-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NR11739700",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00975200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00975200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.