MARINA LYNN ANTINOZZI


Address: 3941 Commerce Ave, Willow Grove, PA 19090-1104
Phone: 2154812800

MARINA LYNN ANTINOZZI (NPI# 1467846691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467846691
Entity Type Individual
Full Name MARINA LYNN ANTINOZZI
Credential AGPCNP-BC
Practice Address 3941 Commerce Ave
Willow Grove
PA 19090-1104
Practice Telephone 2154812800
Practice Fax Number 2154816741
Mailing Telephone 2154812800
Mailing Fax Number 2154816741
Enumeration Date 2015-03-25
Last Update Date 2019-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SPO014665 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103087457 05

Office Location

Street Address 3941 COMMERCE AVE
City WILLOW GROVE
State PA
Zip Code 19090-1104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447249347 Meghan O. Coleman Nurse Practitioner 3941 Commerce Ave, Willow Grove, PA 19090-1104 2005-10-14
1073126157 Sarah Augusta Daniels Nurse Practitioner 3941 Commerce Ave, Willow Grove, PA 19090-1104 2020-08-28
1336773134 Methodist Associates In Healthcare, Inc Radiology 3941 Commerce Ave, Willow Grove, PA 19090-1104 2020-03-02
1891326369 Methodist Associates In Healthcare, Inc Surgery 3941 Commerce Ave, Willow Grove, PA 19090-1104 2020-02-03
1457821670 Abington Memorial Hospital Mastectomy Fitter 3941 Commerce Ave, Willow Grove, PA 19090-1104 2018-11-30
1649676370 Dana Liskova General Acute Care Hospital 3941 Commerce Ave, Willow Grove, PA 19090 2014-11-06
1710311378 Michelle Reily Nurse Practitioner 3941 Commerce Ave, Willow Grove, PA 19090-1104 2013-08-30
1912244500 William Golden Counselor 3941 Commerce Ave, Willow Grove, PA 19090-1104 2013-01-16
1538413455 Carol Anne Robinson Counselor 3941 Commerce Ave, Willow Grove, PA 19090-1104 2012-10-30
1417202052 Janice Johnson-greeley Counselor 3941 Commerce Ave, Willow Grove, PA 19090-1104 2012-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073122495 Orna Kempler Azulay Speech-Language Pathologist 3515 W Moreland Rd, Willow Grove, PA 19090 2020-07-31
1396205654 Randi Lynn Murat Physical Therapist 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 2019-03-22
1780173690 Garden Spring Center Snf LLC Skilled Nursing Facility 1113 North Easton Road, Willow Grove, PA 19090 2018-05-07
1740778976 Dean Depice Chiropractor 1031 North York Rd, Willow Grove, PA 19090 2018-04-24
1679081095 Darnell Marie Lorick Registered Nurse 1553 Rothley Ave, Willow Grove, PA 19090 2018-01-19
1750809364 Eileen Black Counselor 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 2017-09-03
1538615760 Sarah Herstich Social Worker 208 N Easton Rd, Willow Grove, PA 19090 2016-08-28
1902252091 Christina Amodei Physical Therapist 2519 Maryland Rd #250, Willowgrove, PA 19090 2016-05-09
1568838340 Insights Counseling & Consulting LLC Counselor 2300 Computer Ave., C13, Willow Grove, PA 19090 2015-08-17
1376949016 Courtney M Dedda Physical Therapist 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 2014-11-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972067726 Jbr Wound Management LLC Nurse Practitioner 177 Duffield St, Willow Grove, PA 19090-2106 2019-01-25
1447249347 Meghan O. Coleman Nurse Practitioner 3941 Commerce Ave, Willow Grove, PA 19090-1104 2005-10-14
1669726907 Denise O'hara Nurse Practitioner 2325 Maryland Rd, Willow Grove, PA 19090-1749 2012-11-08
1265781207 Jamie Lobbenberg Nurse Practitioner 2360 Maryland Rd, Willow Grove, PA 19090-1709 2012-09-06
1821099383 Cecelia E Passanza Nurse Practitioner 2300 Computer Rd, Suite H-39, Willow Grove, PA 19090-1752 2005-08-09
1235133026 Kelly Marie Bellamy-dixon Nurse Practitioner 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 2005-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669072641 Pinnacle Health Medical Services Nurse Practitioner 250 Fame Ave Ste 201, Hanover, PA 17331-1587 2020-10-28
1265044093 Michelle Lynn Hurst Nurse Practitioner 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 2020-08-21
1255942272 Jessica Ann Joy Nurse Practitioner 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 2020-08-13
1437768413 Stephanie Marie Lesseski Nurse Practitioner 2014 Creekside Dr, Edinboro, PA 16412-1458 2020-07-27
1588272959 Elaine Michele Matisko Nurse Practitioner 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 2020-07-21
1275155012 Jamie Lee Auyeung Nurse Practitioner 2413 Lytle Rd, Bethel Park, PA 15102-2790 2020-05-14
1730715822 Suzette Jones Nurse Practitioner Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 2020-03-20
1841834710 Joseph Mascaro Nurse Practitioner 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 2019-11-04
1477100311 Larissa Marie Glowinski Nurse Practitioner 502 Vna Rd, East Stroudsburg, PA 18301-7965 2019-08-26
1295382232 Marthe Adler Nurse Practitioner 300b Lawrence Dr, West Chester, PA 19380-4289 2019-08-23
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Competitor

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City WILLOW GROVE
Zip Code 19090

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Dataset Information

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.

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