Marge E Shaller, RPA-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0039241 Issued in NY

Practice address

1302 E Main St
Endicott, NY 13760

Phone

(607) 754-7171

NPI assigned

Apr 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750346540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "13760",
            "telephone_number": "607-754-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLER",
        "first_name": "MARGE",
        "middle_name": "E",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "0039241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02149080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalli Scepaniak, MS CCC-SLP
• Stuart D Schiff, DDS
• Carol A Schneider, LMT
• Cheryl Lynn Scott-Richard, PSY.D.
• Stephen Shaffer, P.T.
• Joshua Signs, A.T.C.
• Mario G Silvestri, DPM
• Daisy Singh
• Janice Smith
• Jennifer Smith

• Nurse Practitioner in Endicott, NY
• Providers in Endicott, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.