Individual provider Active NPI

Marisa Cinalli, MSN,RN,APN-C

  • Adult Health Nurse Practitioner
  • Laurel Springs, NJ
National Provider Identifier
1659323822
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00007100 Issued in NJ
Practice address
1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769
Phone
(856) 227-6575
Fax
(856) 374-9495
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00007100 NJ Primary

Addresses

Primary practice location

1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
8766304MedicaidNJ

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
I20041101000130 NJ Practitioner - Nurse Practitioner 9032171269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Health Connections, PCGroup PAC ID 8022271410, 17 clinicians

Practice addresses (Care Compare)

1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00007100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Health Connections PC CurrentSince Feb 1, 2020 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jul 1, 2018 Accepting new patients
Tri-County Health Connections PC Past Accepting new patients
James a Prate LLC Past Accepting new patients

Locations

1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

485 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 237-8080

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1659323822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-227-6575",
            "fax_number": "856-374-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINALLI",
        "first_name": "MARISA",
        "credential": "MSN,RN,APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00007100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8766304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.