Marvelous1 Creationz Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

MARVELOUS1 CREATIONZ INC

Doing business as

Marvelous1 Creationz Telemedicine

Practice address

1207 Delaware Ave # 3337
Wilmington, DE 19806-4743

Phone

(215) 650-7292

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Marisa Pooler

Title

Health, Wellness and Nutrition Spec

Phone

(215) 650-7292

Specialties & licenses 2

Addresses

Other names 1

• Marvelous1 Creationz Telemedicine Doing business as

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1952095531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 FITZWATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462037",
            "telephone_number": "215-650-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE # 3337",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064743",
            "telephone_number": "215-650-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUS1 CREATIONZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "POOLER",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "HEALTH, WELLNESS AND NUTRITION SPEC",
        "authorized_official_telephone_number": "215-650-7292"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marvelous1 Creationz Telemedicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Elizabeth Martino, PMHNP-BC
• Frank Martino
• Michael Anthony Martino III, MS, OTR/L
• Sejal Marvania
• Teresa Marvel
• Andrea L Marvin, M.D.
• Marie Marx
• Maryland Real Life Designs, LLC
• Eileen Mascherino
• Francis Njeuma Mase, M.D.

• Respite Care in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Respite Care in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.