Carey Marrello, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

189678 Issued in NY

Practice address

9562 State Route #13
Camden, NY 13316-4940

Phone

(315) 245-5029

Fax

(315) 245-5056

NPI assigned

Jun 30, 2020

Last updated

Mar 23, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1275150898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9562 STATE ROUTE #13",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133164940",
            "telephone_number": "315-245-5029",
            "fax_number": "315-245-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9562 STATE ROUTE #13",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133164940",
            "telephone_number": "315-245-5029",
            "fax_number": "315-245-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRELLO",
        "first_name": "CAREY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "189678",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "189678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06317977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Lazore, MSW
• Patricia Lefler, RN
• Elliot Levy, DC
• Aaron Andrew Linder, ATC
• Kathleen Marie Lucason
• Donna Mastin, RN
• Austin T McCarthy
• Sidney McGowan
• Renee Dawn Merkt
• Darlene Erma Merola, S.L.P.

• Primary Care Nurse Practitioner in Camden, NY
• Providers in Camden, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.