Marni L Nicholas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME123735 Issued in FL

Practice address

1080 E Indiantown Rd
Suite 206
Jupiter, FL 33477-5100

Phone

(561) 741-5566

Fax

(561) 295-5237

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marni.nicholas.p34@direct.medcor.nextgenshare.com

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.

• Appledore Medical Group, Inc.

  • Family Medicine Physician
  • North Hampton, NH
  • NPI 1174512693
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1174517122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD",
            "address_2": "SUITE 206",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775100",
            "telephone_number": "561-741-5566",
            "fax_number": "561-295-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD",
            "address_2": "SUITE 206",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775100",
            "telephone_number": "561-741-5566",
            "fax_number": "561-295-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MARNI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12286",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229705",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204330",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420610099",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082849",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New View Chiropractic - Sports & Family Health
• New York Society for the Relief of the Ruptured and Crippled Maintaini
• Newfield Orthopedics P.a.
• Jackson Maina Nganga, M.D.
• Sonia Ngo
• Keith Cameron Nichols, MD
• Richard I Nicholson, DDS
• Nicole Bagge LMHC Inc.
• Adam Nolte, MD
• Nordik Chiropractic

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.