Active NPI
Marcy Roshelli
- Psychiatric/Mental Health Nurse Practitioner
- Manahawkin, NJ
National Provider Identifier
1518152453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NN05675900
- Legal business name
- MARCY ROSHELLI
- Practice address
- 1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483 - Phone
- (609) 312-9269
- Fax
- (609) 207-4102
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Roshelli, APRN-BC
- Title
- Owner
- Phone
- (609) 312-9269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NN05675900 | NJ | Primary |
Addresses
Primary practice location
1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483
Mailing address
18 N 7TH St
Surf City, NJ 08008-5201
Phone (609) 312-9269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8092605 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189641600000",
"number": "1518152453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 7TH ST",
"city": "SURF CITY",
"state": "NJ",
"postal_code": "080085201",
"telephone_number": "609-312-9269",
"fax_number": "609-207-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROUTE 72 W",
"address_2": "SUITE 250",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502483",
"telephone_number": "609-312-9269",
"fax_number": "609-207-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCY ROSHELLI",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A",
"authorized_official_last_name": "ROSHELLI",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-312-9269",
"authorized_official_credential": "APRN-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NN05675900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8092605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.