MEDICARE: DR. JILL ANN MARPLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD422794	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	25MA09378400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1866306	OTHER	AETNA PPO
2	7116622	OTHER	AETNA HMO
3	2690328000	OTHER	KHPE

General Provider Information

NPI Number	:	1225022007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL ANN MARPLE MD

Provider Business Mailing Address
First Line	:	301 LIPPINCOTT DR STE 410
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4197
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W ROUTE 38 STE A
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-3424
Country	:	US
Telephone Number	:	609-267-9400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	03/17/2026

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