Carol N Marder, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP006965C Issued in PA

Practice address

5401 Old York Rd
Klein 300
Phila, PA 19141-3030

Phone

(215) 456-7190

Fax

(215) 456-3419

NPI assigned

Feb 8, 2007

Last updated

Mar 29, 2011By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Center for Optimal Health LLC

  • Physical Medicine & Rehabilitation Physician
  • Plymouth Meeting, PA
  • NPI 1598732117
  NPD (past)
• Wyndmoor Rehab Associates P.C.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1447295779
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1174663991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN 300",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-7190",
            "fax_number": "215-456-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "CAROL",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP006965C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Maloney, M.D.
• Mara Leyzin, MD, PC
• Michael Marchesani
• Harold H Marcus, DDS
• Joni R Marcus, DMD
• Mark Allen Orthopedic Clinic
• Litefia Arnita Marrow
• V Blake Marshall Jr., DO
• Delinda Jane Martell, O.D.
• Brunette Marthone, B.S.

• Adult Health Nurse Practitioner in Phila, PA
• Providers in Phila, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.