Active NPI
Marie-Antoinette Chevrin, NP
- Family Nurse Practitioner
- Irvington, NJ
National Provider Identifier
1265749444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336262-1
- Practice address
- 144 Elmwood Ave
Irvington, NJ 07111-1354 - Phone
- (973) 449-7407
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F336262-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F336262-1 | NY | Primary |
Addresses
Primary practice location
144 Elmwood Ave
Irvington, NJ 07111-1354
Mailing address
144 Elmwood Ave
Irvington, NJ 07111-1354
Phone (973) 449-7407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336262-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1265749444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ELMWOOD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111354",
"telephone_number": "973-449-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 ELMWOOD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111354",
"telephone_number": "973-449-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVRIN",
"first_name": "MARIE-ANTOINETTE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F336262-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336262-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.