MICHAEL JOHN MARCO APRN PMHNP-BC NPI 1639918949

NPI Information

  • NPI: 1639918949
  • Provider Name: MICHAEL JOHN MARCO, APRN PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 165 PASSAIC AVE STE 200
    FAIRFIELD, NJ
    ZIP 07004
  • Phone: (856) 818-4020

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NPI Details

Michael John Marco, APRN PMHNP-BC is a psychiatric/mental health nurse practitioner in Fairfield, NJ with 2 years of experience. Michael John Marco, APRN PMHNP-BC NPI is 1639918949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2023

The provider's business location address is:

165 PASSAIC AVE STE 200
FAIRFIELD, NJ
ZIP 07004-526
Phone: (856) 818-4020

The NPI 1639918949 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 enumeration date for this NPI number is 5/24/2024 and was last updated on 5/24/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ15040500NEW JERSEYYes

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: 3/30/2025

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