Individual provider Active NPI

Marcia A Postallian, NP

  • Nurse Practitioner
  • Lyons, NJ
National Provider Identifier
1518060540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NN97852 Issued in NJ
Practice address
151 Knollcroft Rd
VA New Jersey Health Care System
Lyons, NJ 07939
Phone
(908) 647-0180
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NN97852 NJ Primary

Addresses

Primary practice location

151 Knollcroft Rd
VA New Jersey Health Care System
Lyons, NJ 07939

Mailing address

26 Pine Avenue
Madison, NJ 07940
Phone (973) 317-6917

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000306 NJ Order and Referring Only - Nurse Practitioner 3375724248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NN97852NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Senior Living, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518060540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PINE AVENUE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-317-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "address_2": "VA NEW JERSEY HEALTH CARE SYSTEM",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "07939",
            "telephone_number": "908-647-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTALLIAN",
        "first_name": "MARCIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN97852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, NJ

Sources for this page

Verify at the official NPI Registry.