Jennifer Marie Marchetti, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

350437 Issued in NY

Practice address

130 Kelly LN
Media, PA 19063-2047

Phone

(516) 401-4910

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Abel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1679299747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KELLY LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632047",
            "telephone_number": "516-401-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KELLY LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632047",
            "telephone_number": "516-401-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ABEL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne T. Malone, LCSW
• Kathleen Borsa Malone, CRNP
• Cecilia Kristin Mandel, O.D.
• Lilian Mansi, D.C.
• Marcellino Enterprises, Inc. Dba Amramp
• Marco a Albornoz MD
• Alonna Marcus, M.S., BCBA
• Marguerite R Billbrough PC (Center For Sight Of Delaware County)
• Maria C Bucco DO PC
• Maria C Bucco, DO, PC

• Family Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.