Mark J Hutton, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR2025500 Issued in NJ

Practice address

1260 Williamstown Rd
Franklinville, NJ 08322-2559

Phone

(360) 621-7563

NPI assigned

Jul 19, 2021

Reactivated

Apr 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1316510399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WILLIAMSTOWN RD",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222559",
            "telephone_number": "360-621-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 WILLIAMSTOWN RD",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222559",
            "telephone_number": "360-621-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "deactivation_date": "2021-12-08",
        "reactivation_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR2025500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Franklinville, NJ
• Providers in Franklinville, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.