Individual provider Active NPI

Marcella Elizabeth Roshelli, APNC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1891844890
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NN05675900 Issued in NJ
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

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8092605MedicaidNJ
500009706OtherNJRAILROAD 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

LicenseStateTypeSpecialty
26NR05675900NJMDRegistered Nurse
26NN05675900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC PastSince Nov 1, 2023 Accepting new patients
Ocean Orthopedic Associates, P.a. Past Accepting new patients
Biobehavioral Health PastSince Oct 1, 2017 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.

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.

Verify at the official NPI Registry.