Active NPI
Angela Theresa Marinucci, NP
- Family Nurse Practitioner
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00057800
- Practice address
- 1527 Forest Grove Rd
Vineland, NJ 08360-1865 - Phone
- (856) 697-7490
- Fax
- (856) 697-7494
- NPI assigned
- Jul 14, 2006
- Last updated
- Sep 22, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00057800 | NJ | Primary |
Addresses
Primary practice location
1527 Forest Grove Rd
Vineland, NJ 08360-1865
Mailing address
414 Hancock Dr
Mullica Hill, NJ 08062-1828
Phone (856) 223-0908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031313 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 596-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00057800 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Homevisit Physicians PC | Current | Accepting new patients | |
| Samaritan Healthcare & Hospice, Inc. | Past | Accepting new patients | |
| Developmental Disabilities Health Alliance, Inc | Past | Accepting new patients |
Locations
282 Chester Ave
Moorestown, NJ 08057
Phone (856) 222-3292
3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292
3906 Church Rd
Ste 100
Mount Laurel, NJ 08054
480 Woodlane Rd
Westampton, NJ 08060
Phone (609) 877-0555
Interoperability endpoints
- angelamarinucci@a39faffc.micromddirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Mount Laurel, NJ
- NPI 1366088858
-
dba Developmental Disabilities Health Services, PA
- Specialist
- Bloomfield, NJ
- NPI 1639404486
-
dba Palliative Medical Partners
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Mount Laurel, NJ
- NPI 1023323367
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1447276431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 HANCOCK DR",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080621828",
"telephone_number": "856-223-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 FOREST GROVE RD",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083601865",
"telephone_number": "856-697-7490",
"fax_number": "856-697-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINUCCI",
"first_name": "ANGELA",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00057800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031313",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.