Marcella's Boutique Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000002343 Issued in PA

Legal business name

MARCELLA'S BOUTIQUE INC

Practice address

1635 E Pleasant Valley Blvd
Altoona, PA 16602-7305

Phone

(814) 943-1663

Fax

(814) 943-5063

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Denise Stewart

Title

Manager

Phone

(814) 943-1663

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1437471604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027305",
            "telephone_number": "814-943-1663",
            "fax_number": "814-943-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027305",
            "telephone_number": "814-943-1663",
            "fax_number": "814-943-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA'S BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-943-1663"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000002343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "200735",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009261500002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Rosa Mangino, DO
• Anthony John Maniglia, M.D.
• Marcos A Manon, MD
• Ralph Michael Marasco, DMD
• Marcella Armstrong (Marcella's Boutique)
• Rudy Emilio Marcelli, D.D.S.
• Rudy James Marcelli, D.M.D.
• Alexandra Mardula
• Gregorio T. Mariano Jr., M.D.
• Allison Marinak

• Durable Medical Equipment & Medical Supplies in Altoona, PA
• Providers in Altoona, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.

Verify at the official NPI Registry.