Active NPI
Dana Suzanne Marro, BSN,RN,IBCLC
- Lactation Consultant (Registered Nurse)
- Wenonah, NJ
National Provider Identifier
1295103885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-29896; 26NO1161800
- Practice address
- 415 Eryn Rd
Wenonah, NJ 08090-1609 - Phone
- (856) 625-6099
- NPI assigned
- Sep 13, 2015
- Last updated
- Nov 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L-29896; 26NO1161800 | NJ | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- In Home Supportive Care Agency
- Wenonah, NJ
- NPI 1831567429
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.