Active NPI
Nicole Haslett, DO
- Obstetrics & Gynecology Physician
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS020010
- Practice address
- 1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209 - Phone
- (267) 607-5950
- NPI assigned
- Apr 24, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS020010 | NJ | Primary |
Addresses
Primary practice location
1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795
Other practice location 1
103 Red Crest Ln
Branchburg, NJ 08876-3678
Phone (732) 547-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103628735 | Medicaid | PA |
Other names 1
- Nicole Marotta
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.haslett@axia.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 White Rd
209 Riverview Womens
Little Silver, NJ 07739-1166
Phone (732) 842-0673
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS020010 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Women'S Health Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Main Line Healthcare | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1 Bethany Rd
Ste 31
Hazlet, NJ 07730
Phone (732) 264-7687
338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838
180 White Rd
Ste 209
Little Silver, NJ 07739
Phone (732) 842-0673
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
933 E Haverford Rd
#150
Bryn Mawr, PA 19010
Phone (484) 337-5314
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1326435645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "610-482-4795",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 LANGHORNE NEWTOWN RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471209",
"telephone_number": "267-607-5950"
}
],
"practiceLocations": [
{
"address_1": "103 Red Crest Ln",
"address_purpose": "LOCATION",
"city": "Branchburg",
"state": "NJ",
"postal_code": "088763678",
"country_code": "US",
"telephone_number": "732-547-3385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASLETT",
"first_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "OS020010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103628735",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.haslett@axia.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1203 Langhorne Newtown Rd",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MAROTTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.