Individual provider Active NPI

Marlin Edward Gross Jr., DNP, MSN, APN, NP-C

  • Family Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1578838710
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00401900 Issued in NJ
Practice address
785 W Sherman Ave
Vineland, NJ 08360-6913
Phone
(856) 451-4700
NPI assigned
Mar 21, 2012
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00401900 NJ Primary

Addresses

Primary practice location

785 W Sherman Ave
Vineland, NJ 08360-6913

Mailing address

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700

Other practice location 1

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 2

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other practice location 3

128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone (609) 367-0900

Other practice location 4

602 W Cuthbert Blvd Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

Other practice location 5

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 6

401 Young Ave Ste 180 Front
Moorestown, NJ 08057-3139
Phone (856) 291-8600

Other practice location 7

315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

Other practice location 8

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

Other identifiers 1

IdentifierTypeStateIssuer
0331945MedicaidNJ

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org
Direct Messaging Address mgross18284@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130328000086 NJ Practitioner - Nurse Practitioner 3577708304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4002

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00401900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Apr 28, 2019 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Apr 1, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 31, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Jun 7, 2017 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Community Health Care, Inc. CurrentSince Jun 7, 2017 Accepting new patients
Atlanticare Physician Group CurrentSince Apr 28, 2019 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

30 N Pearl St
Bridgeton, NJ 08302

315 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 375-6240

315 Route 70 E
Ste A
Cherry Hill, NJ 08034
Phone (856) 375-6240

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180

219 N White Horse Pike
Ste 104
Hammonton, NJ 08037
Phone (609) 407-2332

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

303 Lippincott Dr
Marlton, NJ 08053

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600

555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 577-7802

239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200

785 W Sherman Ave
Vineland, NJ 08360

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1578838710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606913",
            "telephone_number": "856-451-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606913",
            "telephone_number": "856-451-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 180 Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573139",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Bridgeton Pike Unit B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622615",
            "country_code": "US",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MARLIN",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "DNP, MSN, APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00401900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331945",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 180",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "785 W Sherman Ave",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083606913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081083642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "158 Route 73 Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "315 Route 70 E",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgross18284@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Bridgeton Pike Unit B",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.