Marisa Fernandez

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

26NR26389200 Issued in NJ

Practice address

12 Roszel Rd Ste A103
Princeton, NJ 08540-6234

Phone

(609) 419-0123

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1174358949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 FIDDLERS CREEK RD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROSZEL RD STE A103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406234",
            "telephone_number": "609-419-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR26389200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Felton, MS, CCC-SLP
• Stephen M Felton, M.D.
• Felton,Wong,Wong & Reynolds,PA
• Kevin J Feng, OD
• Alicia Fenley, PH.D.
• Ricardo Fernandez, MD
• Chandani D Fernando, MD
• Feroza Hossain, Inc
• Kevin Francis Ferry, LCSW, LCADC
• Michael J Fidanzato, M.D.

• Psychiatric/Mental Health Registered Nurse in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Psychiatric/Mental Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.