Individual provider Active NPI

Marie Grace Swenson, NP

  • Family Nurse Practitioner
  • Carteret, NJ
National Provider Identifier
1790111292
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00523300 Issued in NJ
Practice address
835 Roosevelt Ave
Carteret, NJ 07008-1815
Phone
(732) 969-2240
Fax
(732) 969-2152
NPI assigned
Sep 17, 2013
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004635A IN
Family Nurse Practitioner 363LF0000X 26NJ00523300 NJ Primary

Addresses

Primary practice location

835 Roosevelt Ave
Carteret, NJ 07008-1815

Mailing address

33 Cedar Ave
Highland Park, NJ 08904-2101
Phone (314) 691-7902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000427 VA Practitioner - Nurse Practitioner 6204150725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Williamsburg PCGroup PAC ID 2466795604, 10 clinicians

Practice addresses (Care Compare)

5239 Monticello Ave
Suite Bandc
Williamsburg, VA 23188-8242
Phone (757) 279-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71004635AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Dec 1, 2017 Accepting new patients
Williamsburg Emergency Physicians CurrentSince May 15, 2019 Accepting new patients
Doctors of Williamsburg, PC CurrentSince Jul 16, 2020 Accepting new patients
Williamsburg Emergency Physicians CurrentSince May 15, 2019 Accepting new patients
Family Community Medicine LLC Past Accepting new patients

Locations

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

5239 Monticello Ave
Ste Ab
Williamsburg, VA 23188

5239 Monticello Ave
Ste B
Williamsburg, VA 23188
Phone (757) 279-2999

5239 Monticello Ave
Ste Bc
Williamsburg, VA 23188
Phone (757) 279-2999

7201 Richmond Rd
Williamsburg, VA 23188
Phone (757) 279-2999

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1790111292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CEDAR AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042101",
            "telephone_number": "314-691-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "732-969-2240",
            "fax_number": "732-969-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "MARIE",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004635A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00523300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

Verify at the official NPI Registry.