Active NPI
Cheryl C Marco, RD, CDE
- Registered Dietitian
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001985
- Practice address
- 211 S 9TH St
Philadelphia, PA 19107-6810 - Phone
- (215) 955-1925
- Fax
- (215) 928-3160
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN001985 | PA | Primary |
Addresses
Primary practice location
211 S 9TH St
Philadelphia, PA 19107-6810
Mailing address
615 Chestnut St
14TH Floor, Central Enrollment
Philadelphia, PA 19106-4404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007761098 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
211 S 9TH St
Suite 600
Philadelphia, PA 19107-6810
Phone (215) 955-8430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
211 S 9th St
Ste 600
Philadelphia, PA 19107
Phone (215) 955-1925
615 Chestnut St
Fl 14
Philadelphia, PA 19106
Phone (215) 955-1175
111 S 11th St
Ste 4240
Philadelphia, PA 19107
Phone (215) 955-6550
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1407055486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT ST",
"address_2": "14TH FLOOR, CENTRAL ENROLLMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 9TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076810",
"telephone_number": "215-955-1925",
"fax_number": "215-928-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCO",
"first_name": "CHERYL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007761098",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.