Active NPI
Abigail Marenco, APN
- Psychiatric/Mental Health Nurse Practitioner
- Cherry Hill, NJ
National Provider Identifier
1760187330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01463700
- Practice address
- 1930 Marlton Pike E Ste V107
Cherry Hill, NJ 08003-4212 - Phone
- (856) 751-4127
- Fax
- (888) 745-4079
- NPI assigned
- Apr 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01463700 | NJ | Primary |
Addresses
Primary practice location
1930 Marlton Pike E Ste V107
Cherry Hill, NJ 08003-4212
Mailing address
1930 Marlton Pike E Ste V107
Cherry Hill, NJ 08003-4212
Phone (856) 751-4127
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 |
|---|---|---|---|
| 26NJ01463700 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1760187330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E STE V107",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034212",
"telephone_number": "856-751-4127",
"fax_number": "888-745-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E STE V107",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034212",
"telephone_number": "856-751-4127",
"fax_number": "888-745-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARENCO",
"first_name": "ABIGAIL",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01463700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.