Maureen Donnette Marshall, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NO11768400 Issued in NJ

Practice address

10 Sterling Dr
Piscataway, NJ 08854-4911

Phone

(908) 358-6828

NPI assigned

May 8, 2021

Reactivated

Oct 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Alignmed Medical Group NJ, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fair Lawn, NJ
  • NPI 1245061605
  NPD
• GPS Physician Group of New Jersey, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Voorhees, NJ
  • NPI 1548776008
  NPD
• Geps Physician Group of New Jersey PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kennett Square, PA
  • NPI 1871512038

  Gerontology

  NPD

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1881278661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STERLING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542337",
            "telephone_number": "732-917-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STERLING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544911",
            "telephone_number": "908-358-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 N County Line Rd Ste 30",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085271255",
            "country_code": "US",
            "telephone_number": "908-359-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MAUREEN",
        "middle_name": "DONNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-09-29",
        "deactivation_date": "2024-09-29",
        "reactivation_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01171000",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO11768400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marcello, PH.D.
• Karen Marcus, LCSW
• Nicholas Marino, MA, DRCC
• John Markey, LPC
• John Jeffrey Marron
• Troi-Elizabeth Marshall
• Yaminah Marshall, LPN
• Tracy Martin, MD
• Gloria Martinez-Rey
• Vanessa Martinez

• Registered Nurse in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.