Individual provider Active NPI

Nicole Marchetto, MD, MPH

  • Reproductive Endocrinology Physician
  • Chesterbrook, PA
National Provider Identifier
1932596749
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD478345 Issued in PA
Practice address
735 Chesterbrook Blvd
Chesterbrook, PA 19087-5638
Phone
(610) 981-6000
Fax
(855) 437-5785
NPI assigned
Apr 20, 2015
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X C1-0025136 DE
Reproductive Endocrinology Physician 207VE0102X MD478345 PA Primary

Addresses

Primary practice location

735 Chesterbrook Blvd
Chesterbrook, PA 19087-5638

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783

Other practice location 1

111 Continental Dr Ste 114
Newark, DE 19713-4302
Phone (302) 467-1898

Other practice location 2

205 Granite Run Dr Ste 350
Lancaster, PA 17601-6821
Phone (610) 376-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123000566 NY Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 9133466691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0025136DEMDReproductive Endocrinology Physician
MD478345PAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Roosevelt Hospital Center Obstetrics & Gynecology Past Accepting new patients
Shady Grove Reproductive Science Center PC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1932596749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHESTERBROOK BLVD",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875638",
            "telephone_number": "610-981-6000",
            "fax_number": "855-437-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Continental Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134302",
            "country_code": "US",
            "telephone_number": "302-467-1898",
            "fax_number": "302-467-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Granite Run Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016821",
            "country_code": "US",
            "telephone_number": "610-376-1229",
            "fax_number": "855-281-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHETTO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DE",
            "license": "C1-0025136",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD478345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterbrook, PA

Sources for this page

Verify at the official NPI Registry.