Individual provider Active NPI

Marian Theresa Ferretti, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Pearl River, NY
National Provider Identifier
1306189600
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302070 Issued in NY
Practice address
52 Meadows St
Pearl River, NY 10965-1912
Phone
(212) 980-4294
Fax
(212) 994-3482
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302070 NY Primary

Addresses

Primary practice location

52 Meadows St
Pearl River, NY 10965-1912

Mailing address

101 Marine Ave
Suite 2B
Brooklyn, NY 11209-7256
Phone (718) 836-3983

Other names 1

  • Ms. Marian Theresa Ferretti Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Health Nurse Practitioner House Call Services, PLLC Adult Health PastSince Nov 1, 2006 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1306189600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARINE AVE",
            "address_2": "SUITE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097256",
            "telephone_number": "718-836-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEADOWS ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651912",
            "telephone_number": "212-980-4294",
            "fax_number": "212-994-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRETTI",
        "first_name": "MARIAN",
        "middle_name": "THERESA",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "FERRETTI",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.