Active NPI
Robert John Marsh Jr., ANP
- Acute Care Nurse Practitioner
- Utica, NY
National Provider Identifier
1730494238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F305416-1
- Practice address
- 2209 Genesee St
Hospitalist Program
Utica, NY 13501-5930 - Phone
- (315) 801-8263
- Fax
- (315) 801-4988
- NPI assigned
- Aug 10, 2010
- Last updated
- Mar 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F305416-1 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Hospitalist Program
Utica, NY 13501-5930
Mailing address
2209 Genesee St
Hospitalist Program
Utica, NY 13501-5930
Phone (315) 801-8263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03346178 | Medicaid | NY |
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 |
|---|---|---|---|
| F305416-1 | NY | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1730494238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"address_2": "HOSPITALIST PROGRAM",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-8263",
"fax_number": "315-801-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"address_2": "HOSPITALIST PROGRAM",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-8263",
"fax_number": "315-801-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F305416-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03346178",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.