Individual provider Active NPI

Marie Teresa Raschdorf, RN

  • Registered Nurse
  • Pennington, NJ
National Provider Identifier
1720528656
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NO11675300 Issued in NJ
Practice address
4 Brandon Rd W
Pennington, NJ 08534-5204
Phone
(609) 558-2059
NPI assigned
Feb 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NO11675300 NJ Primary

Addresses

Primary practice location

4 Brandon Rd W
Pennington, NJ 08534-5204

Mailing address

4 Brandon Rd W
Pennington, NJ 08534-5204
Phone (609) 558-2059

Other names 1

  • Marie Teresa Giaimo Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO11675300NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1720528656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRANDON RD W",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345204",
            "telephone_number": "609-558-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRANDON RD W",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345204",
            "telephone_number": "609-558-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHDORF",
        "first_name": "MARIE",
        "middle_name": "TERESA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO11675300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GIAIMO",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.