Individual provider Active NPI

Marie-Antoinette Chevrin, NP

  • Family Nurse Practitioner
  • Irvington, NJ
National Provider Identifier
1265749444
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336262-1 Issued in NY
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

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F336262-1NYMDFamily 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.

Verify at the official NPI Registry.