Individual provider Active NPI

Marian W Mote, CPNP

  • Pediatric Nurse Practitioner
  • Merchantville, NJ
National Provider Identifier
1235334814
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NN05232700 Issued in NJ
Practice address
Merchantville Pediatrics- a Division of Cha
1 S. Centre Street, Suite 100
Merchantville, NJ 08109
Phone
(856) 665-7337
Fax
(856) 665-3938
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NN05232700 NJ Primary

Addresses

Primary practice location

Merchantville Pediatrics- a Division of Cha
1 S. Centre Street, Suite 100
Merchantville, NJ 08109

Mailing address

50 Broadacre Dr
Mount Laurel, NJ 08054-4705
Phone (856) 234-1031

Other identifiers 1

IdentifierTypeStateIssuer
26NN05232700OtherNJNJ WITH PERSCRIPTIVE AUTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marian.mote@advocaredoctors.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235334814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROADACRE DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544705",
            "telephone_number": "856-234-1031",
            "fax_number": "856-665-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MERCHANTVILLE PEDIATRICS- A DIVISION OF CHA",
            "address_2": "1 S. CENTRE STREET, SUITE 100",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-665-7337",
            "fax_number": "856-665-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTE",
        "first_name": "MARIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN05232700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ WITH PERSCRIPTIVE AUTH",
            "identifier": "26NN05232700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

Verify at the official NPI Registry.