SUZANNE M MARCELLARO APN NPI 1063458883

NPI Information

  • NPI: 1063458883
  • Provider Name: SUZANNE M MARCELLARO, APN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 PROSPECT AVE
    FACULTY PRACTICE OFFICE
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 996-2816

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NPI Details

Suzanne M Marcellaro, APN is an adult health nurse practitioner in Hackensack, NJ with 22 years of experience. Suzanne M Marcellaro, APN NPI is 1063458883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 PROSPECT AVE
FACULTY PRACTICE OFFICE
HACKENSACK, NJ
ZIP 07601-914
Phone: (201) 996-2816

The NPI 1063458883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health26NJ00066700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1311045OTHERNEW JERSEYAMERIGROUP PIN
260026254OTHERNEW JERSEYHORIZON NJ HEALTH
3O86O88ZFPYOTHERNEW JERSEYCOGENT MEDICARE NUMBER
4086088DHKMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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