Active NPI
Nidia P Marchese, D.D.S.
- Pediatric Dentistry
- Scranton, PA
National Provider Identifier
1629123344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS024456L
- Practice address
- 313 Mulberry St
Scranton, PA 18503-1221 - Phone
- (570) 346-7760
- Fax
- (570) 346-9002
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS024456L | PA | Primary |
Addresses
Primary practice location
313 Mulberry St
Scranton, PA 18503-1221
Mailing address
313 Mulberry St
Scranton, PA 18503-1221
Phone (570) 346-7760
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024456L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629123344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031221",
"telephone_number": "570-346-7760",
"fax_number": "570-346-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031221",
"telephone_number": "570-346-7760",
"fax_number": "570-346-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESE",
"first_name": "NIDIA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS024456L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.