Individual provider Active NPI

Marianne Buzby, RN, MSN, CRNP

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1558316661
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP001292D Issued in PA
Practice address
34TH St. & Civic Ctr Blvd, the Childrens Hosp. of Phila
Division of Endocrinology, 11NW, Suite 30
Philadelphia, PA 19104
Phone
(215) 590-3174
Fax
(215) 590-3053
NPI assigned
May 24, 2006
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP001292D PA Primary
Pediatric Nurse Practitioner 363LP0200X 26NN06393100 NJ
Pediatric Registered Nurse 163WP0200X RN246024L PA
Pediatric Registered Nurse 163WP0200X 26NR06393100 NJ

Addresses

Primary practice location

34TH St. & Civic Ctr Blvd, the Childrens Hosp. of Phila
Division of Endocrinology, 11NW, Suite 30
Philadelphia, PA 19104

Mailing address

221 Wayne Ave
Haddonfield, NJ 08033-1449
Phone (856) 428-5860

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR06393100NJMDPediatric Registered Nurse
RN246024LPAMDPediatric Registered Nurse
26NN06393100NJMDPediatric Nurse Practitioner
SP001292DPAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1558316661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WAYNE AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331449",
            "telephone_number": "856-428-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH ST. & CIVIC CTR BLVD, THE CHILDRENS HOSP. OF PHILA",
            "address_2": "DIVISION OF ENDOCRINOLOGY, 11NW, SUITE 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-590-3174",
            "fax_number": "215-590-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZBY",
        "first_name": "MARIANNE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP001292D",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN06393100",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN246024L",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NJ",
            "license": "26NR06393100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.