Marcellus Regisitered Prof Nurse and Nurse Practitioner in Adult Healt

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MARCELLUS REGISITERED PROF NURSE AND NURSE PRACTITIONER IN ADULT HEALT

Doing business as

Marcellus Wellness and Addiction Services

Practice address

22 Mitchell Dr
Monroe Township, NJ 08831-7902

Phone

(516) 728-0672

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Erica Mackenzie, LPNNPI 1497405054

Title

Office Manager

Phone

(917) 916-7871

Specialties & licenses 2

Addresses

Other names 1

• Marcellus Wellness and Addiction Services Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Mackenzie, LPN

  • Licensed Practical Nurse
  • Garden City, NY
  • NPI 1497405054
  NPD Authorized official
• Jean-Jeffrey Marcellus, N.P.

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
  • NPI 1881906766
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1891488094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SUNRISE HWY STE 1-726",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704912",
            "telephone_number": "516-728-0672",
            "fax_number": "929-810-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MITCHELL DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088317902",
            "telephone_number": "516-728-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLUS REGISITERED PROF NURSE AND NURSE PRACTITIONER IN ADULT HEALT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-916-7871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcellus Wellness and Addiction Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Lorfing, CD(DONA)
• Michele Julia Mahmet-Fox, A.N.P.
• Jennifer A Majdosz, MS, OTR/L
• Maggie M Mak
• Stewart D Manela, DDS
• Phyllis A March, RN
• Frank Peter Marchese, M.D.
• Lynne T Martin
• Frederick Michael Maurin Jr., PT, DPT
• Carolyn M. McCaffrey, OT

• Psychiatric/Mental Health Nurse Practitioner in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.