Active NPI
William Marciante, RN, LPC, CPRP
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1861678708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN628023
- Practice address
- 100 S Broad St
Suite 1430
Philadelphia, PA 19110-1023 - Phone
- (215) 569-8414
- Fax
- (215) 569-2021
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN628023 | PA | Primary |
| Mental Health Counselor | 101YM0800X | PC005353 | PA |
Addresses
Primary practice location
100 S Broad St
Suite 1430
Philadelphia, PA 19110-1023
Mailing address
100 S Broad St
Suite 1430
Philadelphia, PA 19110-1023
Phone (215) 569-8414
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 |
|---|---|---|---|
| PC005353 | PA | MD | Mental Health Counselor |
| RN628023 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1861678708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S BROAD ST",
"address_2": "SUITE 1430",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191101023",
"telephone_number": "215-569-8414",
"fax_number": "215-569-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BROAD ST",
"address_2": "SUITE 1430",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191101023",
"telephone_number": "215-569-8414",
"fax_number": "215-569-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIANTE",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RN, LPC, CPRP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN628023",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC005353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.