Individual provider Active NPI

Marguerita A Reczycki, RN, PC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Salem, MA
National Provider Identifier
1528155355
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
115006 Issued in MA
Practice address
64 Bridge St
Salem, MA 01970-4131
Phone
(978) 745-5505
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 115006 MA Primary

Addresses

Primary practice location

64 Bridge St
Salem, MA 01970-4131

Mailing address

31 Evans Road
Marblehead, MA 01945-2461
Phone (781) 631-1498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130502000365 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 0143467571 Practice locations: Lynn, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Prescott Rd
Lynn, MA 01902-3123
Phone (918) 500-5550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115006MAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1528155355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 EVANS ROAD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452461",
            "telephone_number": "781-631-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BRIDGE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704131",
            "telephone_number": "978-745-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECZYCKI",
        "first_name": "MARGUERITA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "115006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.