Elaine Maruca, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP004673B Issued in PA

Practice address

9801 Frankford Ave
Philadelphia, PA 19114-2009

Phone

(267) 341-3262

NPI assigned

Oct 25, 2009

Reactivated

Aug 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1811223951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142009",
            "telephone_number": "267-341-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142009",
            "telephone_number": "267-341-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCA",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-25",
        "last_updated": "2019-09-24",
        "deactivation_date": "2011-02-01",
        "reactivation_date": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP004673B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura-Therese Martone, CRNP
• Camille Martorella, MD
• Gregg Gabriel Martyak, M.D.
• Volodymyr Martynchuk
• Saumya Maru
• Chris Marukos, D.P.M.
• Alyssa Marulli
• Elizabeth Marie Marunde, OD
• Rohit Maruthi, MD
• Sunny Marvania, PHARMD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.