Marie Emmanuelle Martelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

699755-1 Issued in NY

Practice address

5809 Morris St Apt B
Philadelphia, PA 19144-3854

Phone

(125) 327-3485

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1689052318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241B BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032422",
            "telephone_number": "253-273-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 MORRIS ST APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443854",
            "telephone_number": "125-327-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLY",
        "first_name": "MARIE",
        "middle_name": "EMMANUELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01397200",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "699755-1",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01397200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marshall, MD
• Marshannie'S Home Care, LLC
• Lauren K Marsteller, CRNP
• Melissa A Martchek, MD
• Yehoda Marteki Martei
• Tahisha Michelle Martelly
• James Rodolfo Martelo
• Martenson Therapy, LLC
• Gillian Alexandra Martenson, LCSW
• Marthas Way

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.