Individual provider Active NPI

Marcella Derosa

  • Lactation Consultant (Non-RN)
  • Barrington, NJ
National Provider Identifier
1629790266
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
102 Erie Ave
Barrington, NJ 08007-1327
Phone
(215) 892-7207
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

102 Erie Ave
Barrington, NJ 08007-1327

Mailing address

102 Erie Ave
Barrington, NJ 08007-1327
Phone (215) 892-7207

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://bornwithlovesleep.com/lets-connect Direct
CONNECT URL https://bornwithlovesleep.com/lets-connect Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1629790266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ERIE AVE",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071327",
            "telephone_number": "215-892-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ERIE AVE",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071327",
            "telephone_number": "215-892-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "MARCELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bornwithlovesleep.com/lets-connect",
            "affiliation": "N",
            "endpointDescription": "website contact form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Erie Ave",
            "city": "Barrington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080071327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bornwithlovesleep.com/lets-connect",
            "affiliation": "N",
            "endpointDescription": "website contact form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Erie Ave",
            "city": "Barrington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080071327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.