Marivic Vanover, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00886000 Issued in NJ

Practice address

3 Brendenwood Dr
Voorhees, NJ 08043-1603

Phone

(856) 874-0202

Fax

(856) 874-0220

NPI assigned

Jan 2, 2019

Last updated

Feb 11, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Arches Primary Care

  • Primary Care Nurse Practitioner
  • Voorhees, NJ
  • NPI 1174408116
  Medicare reassignment NPD Authorized official
• Bridgecare Provider Group Ma, PLLC

  • Nurse Practitioner
  • Concord, MA
  • NPI 1679366298
  NPD Authorized official
• CMG Medical Group I LLC

  • Family Medicine Physician
  • Manalapan, NJ
  • NPI 1942778014
  NPD (past)
• Kennedy Medical Group Practice, P.C.

  dba Jefferson Health

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1952726796
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1710450713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-374-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRENDENWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431603",
            "telephone_number": "856-874-0202",
            "fax_number": "856-874-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Lexton Run",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432977",
            "country_code": "US",
            "telephone_number": "856-448-3533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Fries Mill Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122016",
            "country_code": "US",
            "telephone_number": "856-374-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "MARIVIC",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00886000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rinaben Vaghela Makani
• Aileen Valencia, DMD
• Lorraine Valentino, MACCCSLP
• Erica Van Pelt, DDS
• Stephanie Van'T Zelfden, RDN, CDN
• Gerardo Varallo, D.O.
• Joby Varghese, D.O.
• Mariah Vargo, MA
• Laurie Varlotta, M.D.
• Vascular Care Centers LLC

• Adult Health Nurse Practitioner in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.