Active NPI
Marian O Dasilva, FNP
- Family Nurse Practitioner
- Bridgeton, NJ
National Provider Identifier
1740760180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342574
- Practice address
- 11 Neil CT
Bridgeton, NJ 08302-3617 - Phone
- (347) 524-5077
- NPI assigned
- Aug 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 342574 | NY | Primary |
| Registered Nurse | 163W00000X | 485068 | NY |
Addresses
Primary practice location
11 Neil CT
Bridgeton, NJ 08302-3617
Mailing address
11 Neil CT
Bridgeton, NJ 08302-3617
Phone (347) 524-5077
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 485068 | NY | MD | Registered Nurse |
| 342574 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1740760180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NEIL CT",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023617",
"telephone_number": "347-524-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEIL CT",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023617",
"telephone_number": "347-524-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASILVA",
"first_name": "MARIAN",
"middle_name": "O",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342574",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "485068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.