Active NPI
Marsha E Bodus, RN
- Registered Nurse
- Colts Neck, NJ
National Provider Identifier
1538414776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704262370
- Practice address
- 201 Route 34 South
BLDG C-3
Colts Neck, NJ 07722 - Phone
- (732) 866-2303
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704262370 | MI | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 4704262370 | MI |
Addresses
Primary practice location
201 Route 34 South
BLDG C-3
Colts Neck, NJ 07722
Mailing address
15771 Green Rd
Lachine, MI 49753-9799
Phone (989) 278-0641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704262370 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1538414776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15771 GREEN RD",
"city": "LACHINE",
"state": "MI",
"postal_code": "497539799",
"telephone_number": "989-278-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ROUTE 34 SOUTH",
"address_2": "BLDG C-3",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "07722",
"telephone_number": "732-866-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODUS",
"first_name": "MARSHA",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704262370",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MI",
"license": "4704262370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colts Neck, NJ
- Michael Robert Bensch, PHYSICIAN ASSISTANT
- Tyler Beriault
- Michael L Bernstein, MD
- Bhavini S Chandarana MD LLC (Advanced Physical Medicine & Rehabilitation)
- Bhavini S Chandarana MD LLC (Advanced Pain Management & Rehabilitation)
- Branch Medical Clinic Earle
- Michael Vincent Brandon, D.C
- Kara Brower, LSW
- Denise Marie Buckley
- Justine Buzzetta, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.