Active NPI
Marcia Ruth McInnes, M.D.
- Pediatrics Physician
- Pluckemin, NJ
National Provider Identifier
1639138456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA04419400
- Practice address
- 254 RT 202-206 North
Pluckemin, NJ 07978-0160 - Phone
- (908) 234-9777
- Fax
- (908) 234-2485
- NPI assigned
- Mar 21, 2006
- Last updated
- Dec 12, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA04419400 | NJ | Primary |
Addresses
Primary practice location
254 RT 202-206 North
Pluckemin, NJ 07978-0160
Mailing address
LB# 7550 PO Box 95000
Philadelphia, PA 19195-7550
Phone (844) 362-1735
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141230000654 | NJ | Order and Referring Only - Pediatric Medicine | 4789907692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1639138456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LB# 7550 PO BOX 95000",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191957550",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 RT 202-206 NORTH",
"city": "PLUCKEMIN",
"state": "NJ",
"postal_code": "079780160",
"telephone_number": "908-234-9777",
"fax_number": "908-234-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNES",
"first_name": "MARCIA",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA04419400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pluckemin, NJ
- Bedminster Chiropractic Inc
- Elaine Theresa Dill, L.C.S.W.
- Kimberly N. Leatherdale, ATR, LPC
- Paul Francis Levinsky, DDS
- Michael a. Ornstein OD PA (Village Optics)
- Michael Ornstein, O.D.
- Primary Care Partners LLC (Marcia McInnes, MD-Primary Care Partners Affiliate)
- Craig Alan Siegel, DC
- Drew Eric Siegel, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.