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General NPI Number Information
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NPI Number | 1881906766
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Entity Type | Individual
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Provider Name | JEAN-JEFFREY MARCELLUS N.P.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 265 SUNRISE HWY STE 1-726
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4912
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Country | US
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Telephone | 516-728-0672
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MITCHELL DR
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-7902
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Country | US
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Telephone | 917-322-1663
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404910
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 305892
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020542
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License Number State | CA
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