Maureen Kelly Marcus, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

465844-1 Issued in NY

Practice address

3 Richmond PL
Huntington Station, NY 11746-1340

Phone

(631) 271-4482

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Maureen Deirdre Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1780973974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RICHMOND PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461340",
            "telephone_number": "631-271-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHMOND PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461340",
            "telephone_number": "631-271-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MAUREEN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "465844-1",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "465844-1",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "465844-1",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "465844-1",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "465844-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "KELLY",
            "middle_name": "DEIRDRE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Mangino, C.O.
• Michael Mangino, C.P.O., C.PED.
• Gabriella Maria Manwell
• Keiry Giselle Manzanares
• Marc Adelberg DDS, PLLC (AMPD Huntington)
• Tina Marie Marengo
• Marleen Marino, O.D.
• Jimmy Marseille, NP
• Jessica Marti, CD, CPPD
• Evan Marx, D.P.T.

• Administrator Registered Nurse in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.