Active NPI
Marilyn Adams, APN
- Adult Health Nurse Practitioner
- Milford, PA
National Provider Identifier
1679552632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN08398200
- Practice address
- 111 E Catherine St
Suite 110
Milford, PA 18337-1347 - Phone
- (570) 296-4600
- Fax
- (570) 409-1965
- NPI assigned
- Jan 10, 2006
- Last updated
- Jan 17, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN08398200 | NJ | Primary |
Addresses
Primary practice location
111 E Catherine St
Suite 110
Milford, PA 18337-1347
Mailing address
111 E Catherine St
Suite 110
Milford, PA 18337-1347
Phone (570) 296-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00083271 | Other | PA | PA RAILROAD MEDICARE |
| 8406405 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN08398200 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Sparta, NJ
- NPI 1881882785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1679552632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E CATHERINE ST",
"address_2": "SUITE 110",
"city": "MILFORD",
"state": "PA",
"postal_code": "183371347",
"telephone_number": "570-296-4600",
"fax_number": "570-409-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E CATHERINE ST",
"address_2": "SUITE 110",
"city": "MILFORD",
"state": "PA",
"postal_code": "183371347",
"telephone_number": "570-296-4600",
"fax_number": "570-409-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MARILYN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN08398200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA RAILROAD MEDICARE",
"identifier": "P00083271",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8406405",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, PA
- A New Breath Health and Wellness LLC
- A. M. Acupuncture, LLC
- Above the Rest Homecare, LLC
- Access Physical Therapy & Wellness Inc
- Advanced Chiropractic of Milford
- Advanced Chiropractic Systems LLC
- Zachary Evan Ahearn, PHARMD
- Ahs Hospital Corp. (Atlantic Homecare & Hospice)
- Alitons Pharmacy Home Healthcare Centers of Milford Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.