Active NPI
Renee Wendy Marhong, R.N.
- Registered Nurse
- Staten Island, NY
National Provider Identifier
1790010932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 620551
- Practice address
- 142 Hylan Blvd
Staten Island, NY 10305-2004 - Phone
- (347) 248-5847
- NPI assigned
- Oct 6, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 620551 | NY | Primary |
Addresses
Primary practice location
142 Hylan Blvd
Staten Island, NY 10305-2004
Mailing address
142 Hylan Blvd
Staten Island, NY 10305-2004
Phone (347) 248-5847
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620551 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1790010932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052004",
"telephone_number": "347-248-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052004",
"telephone_number": "347-248-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARHONG",
"first_name": "RENEE",
"middle_name": "WENDY",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "620551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.