CAREY MARRELLO (NPI# 1275150898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275150898 |
| Entity Type | Individual |
| Full Name | CAREY MARRELLO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1819 Black River Blvd N Rome NY 13440-2451 |
| Mailing Address |
167 Northwood Cir Rome NY 13440-0705 |
| Practice Telephone | 3153387184 |
| Practice Fax Number | 3153391975 |
| Mailing Telephone | 3152814654 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
189678 | NY | Allopathic & Osteopathic Physicians |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
189678 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1819 BLACK RIVER BLVD N |
| City | ROME |
| State | NY |
| Zip Code | 13440-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658407 | Richard John Mutty | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-06-08 |
| 1881102580 | Lynne Kathleen Philley | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2018-01-16 |
| 1700121894 | Rome Memorial Hospital | Internal Medicine | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2012-11-30 |
| 1265564975 | Rome Mri Associates | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2007-03-09 |
| 1306995253 | Bridget M Arquette | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2007-01-09 |
| 1871526434 | Richard J. Mutty Md, PC | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2006-07-08 |
| 1326031725 | Mohawk Valley Open Mri, PC | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-08-31 |
| 1912909870 | Patricia C Marrello | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558856401 | Amanda Chambers Ingram | Nurse Practitioner | 304 Shorter Ave Nw Ste 105, Rome, GA 30165-4256 | 2018-06-23 |
| 1164879722 | Rachel Reising Corbin | Nurse Practitioner | 205 W Dominick St, Rome, NY 13440-5811 | 2016-05-24 |
| 1396378550 | Sheena Nichole Wood | Nurse Practitioner | 302 Shorter Ave Nw, Rome, GA 30165-4268 | 2020-02-17 |
| 1245271022 | Donna Faye Childers | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
| 1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
| 1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
| 1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.