Individual provider Active NPI

Beatrice R Marseille, RN,APN

  • Adult Health Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1548440688
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F34270-1 Issued in NY
Practice address
22 S Madison Ave
Suite C
Spring Valley, NY 10977-5525
Phone
(845) 517-5252
Fax
(845) 517-5253
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F34270-1 NY Primary

Addresses

Primary practice location

22 S Madison Ave
Suite C
Spring Valley, NY 10977-5525

Mailing address

22 S Madison Ave
Suite C
Spring Valley, NY 10977-5525
Phone (845) 517-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080823000029 NY Practitioner - Nurse Practitioner 6901971027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F34270-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC CurrentSince Jul 1, 2019 Accepting new patients
Maple Social Services Inc CurrentSince Nov 10, 2019 Accepting new patients
Newburgh Physician Services PC CurrentSince Jul 1, 2014 Accepting new patients
Maple Community Care Services Inc PastSince Jul 24, 2022 Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

22 S Madison Ave
Ste C
Spring Valley, NY 10977
Phone (845) 517-2025

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 4

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1548440688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S MADISON AVE",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775525",
            "telephone_number": "845-517-5252",
            "fax_number": "845-517-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S MADISON AVE",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775525",
            "telephone_number": "845-517-5252",
            "fax_number": "845-517-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSEILLE",
        "first_name": "BEATRICE",
        "middle_name": "R",
        "credential": "RN,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F34270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.