Active NPI
Marcella Elizabeth Roshelli, APNC
- Psychiatric/Mental Health Nurse Practitioner
- Manahawkin, NJ
National Provider Identifier
1891844890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NN05675900
- Practice address
- 1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483 - Phone
- (609) 489-0888
- Fax
- (609) 207-4102
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR05675900 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NN05675900 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NN05675900 | NJ | Primary |
Addresses
Primary practice location
1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483
Mailing address
18 N 7TH St
Surf City, NJ 08008-5201
Phone (609) 312-9269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8092605 | Medicaid | NJ | |
| 500009706 | Other | NJ | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR05675900 | NJ | MD | Registered Nurse |
| 26NN05675900 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology & Counseling Associates, LLC | Past | Accepting new patients | |
| Ocean Orthopedic Associates, P.a. | Past | Accepting new patients | |
| Biobehavioral Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Toms River, NJ
- NPI 1932247228
-
- Clinical Neuropsychologist
- Brick, NJ
- NPI 1033213251
-
- Orthopaedic Surgery Physician
- Toms River, NJ
- NPI 1952732638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1891844890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 7TH ST",
"city": "SURF CITY",
"state": "NJ",
"postal_code": "080085201",
"telephone_number": "609-312-9269",
"fax_number": "609-207-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROUTE 72 W",
"address_2": "SUITE 250",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502483",
"telephone_number": "609-489-0888",
"fax_number": "609-207-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHELLI",
"first_name": "MARCELLA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR05675900",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN05675900",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NN05675900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8092605",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500009706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.