Marquetta Richardson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

201 Strykers Rd Ste 19-306
Phillipsburg, NJ 08865-5400

Phone

(848) 230-5944

NPI assigned

Feb 16, 2021

Sex

Female

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

Practice roles

Locations

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.

• Mars Roman Beauty RX

  • Prosthetic/Orthotic Supplier
  • Phillipsburg, NJ
  • NPI 1699368811
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1396338802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DAWN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STRYKERS RD STE 19-306",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088655400",
            "telephone_number": "848-230-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARQUETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rez Padpad Resano, PT
• Retina Specialists of New Jersey LLC
• Manasi Revankar, D.O.
• Reviving Life Mental Health Services LLC
• Shiva Rezvanian, M.D
• Rise Ventures Corp
• River Run Wellness Corp
• Ashley Jean Marie Rivera, PT, DPT, ATP
• Jomarie Enid Rivera, MD, MSMS.
• Riverfront Neurology LLC

• Prosthetic/Orthotic Supplier in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.