Individual provider Active NPI

William Marciante, RN, LPC, CPRP

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1861678708
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN628023 Issued in PA
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

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC005353PAMDMental Health Counselor
RN628023PAMDRegistered 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.

Verify at the official NPI Registry.