Active NPI
Marian J Desrochers, APRN
- Family Nurse Practitioner
- Newton, MA
National Provider Identifier
1225008592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 046248-23
- Practice address
- 246 Walnut St
Newton, MA 02460-1639 - Phone
- (617) 244-3322
- Fax
- (617) 244-1827
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 046248-23 | NH | Primary |
Addresses
Primary practice location
246 Walnut St
Newton, MA 02460-1639
Mailing address
13 Highfield Dr
Allenstown, NH 03275-2622
Phone (603) 268-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30342403 | Medicaid | NH |
Other names 1
- Ms. Marian J Gamache
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1225008592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 HIGHFIELD DR",
"city": "ALLENSTOWN",
"state": "NH",
"postal_code": "032752622",
"telephone_number": "603-268-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 WALNUT ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601639",
"telephone_number": "617-244-3322",
"fax_number": "617-244-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHERS",
"first_name": "MARIAN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "046248-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342403",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAN",
"last_name": "GAMACHE",
"middle_name": "J",
"prefix": "MS.",
"credential": "A.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.