Individual provider Active NPI

Dana Suzanne Marro, BSN,RN,IBCLC

  • Lactation Consultant (Registered Nurse)
  • Wenonah, NJ
National Provider Identifier
1295103885
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-29896; 26NO1161800 Issued in NJ
Practice address
415 Eryn Rd
Wenonah, NJ 08090-1609
Phone
(856) 625-6099
NPI assigned
Sep 13, 2015
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-29896; 26NO1161800 NJ Primary

Addresses

Primary practice location

415 Eryn Rd
Wenonah, NJ 08090-1609

Mailing address

415 Eryn Rd
Wenonah, NJ 08090-1609
Phone (856) 625-6099

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-29896; 26NO1161800NJMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Mullica Hill Lactation LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1295103885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ERYN RD",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901609",
            "telephone_number": "856-625-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ERYN RD",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901609",
            "telephone_number": "856-625-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRO",
        "first_name": "DANA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "BSN,RN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-13",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "L-29896; 26NO1161800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenonah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.