MARC ROBERT PECK (NPI# 1255344297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255344297 |
| Entity Type | Individual |
| Full Name | MARC ROBERT PECK |
| Credential | MD |
| Practice Address |
1810 Shore Rd Northfield NJ 08225-2220 |
| Practice Telephone | 6096779729 |
| Practice Fax Number | 6096527153 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA02504000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2303108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979424 | Marc Roger Peck | Family Medicine | 377 Sylvan Lake Road, Suite 210, Eagle, CO 81631 | 2005-08-11 |
| 1235552365 | Marc Peck | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2014-01-24 |
| Street Address |
1810 SHORE RD |
| City | NORTHFIELD |
| State | NJ |
| Zip Code | 08225-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841449071 | Barnett & Massey LLC | Counselor | 1810 Shore Rd, Northfield, NJ 08225-2220 | 2008-09-11 |
| 1508923079 | Robin M Barnett | Social Worker | 1810 Shore Rd, Northfield, NJ 08225-2220 | 2007-01-03 |
| 1740346238 | Randi Massey-alvarado | Social Worker | 1810 Shore Rd, Northfield, NJ 08225-2220 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187629 | Caryl Lynn Bochniak | Nurse Practitioner | 201 S Shore Rd, Northfield, NJ 08225 | 2020-09-06 |
| 1497306534 | Melanie Fumosa | Social Worker | 561-563 Tilton Rd, Northfield, NJ 08225 | 2019-09-20 |
| 1912463944 | Cheryl L Chiarello | Counselor | Legacy Treatment Services, 561 Tilton Road, Northfield, NJ 08225 | 2019-02-14 |
| 1477009322 | S & H Rehabilitation Assoc | Clinic/Center | 331 Tilton Rd Suite 7, Northfield, ATLANTIC COUNTY 08225 | 2016-08-31 |
| 1326411364 | Caringhouse Projects, Inc | Respite Care | 120 East Mill Road, Northfield, NJ 08225 | 2015-11-12 |
| 1255704672 | Caringhouse Projects, Inc | Respite Care | 103 East Mill Road, Main Building, Northfield, NJ 08225 | 2015-11-06 |
| 1245646066 | The Alcove Center for Grieving Children and Families, Inc | Social Worker | 376 Tilton Rd - Rear, Northfield, NJ 08225 | 2014-07-02 |
| 1053724799 | Patricia Hogan | Nurse Practitioner | 1921 New Rd., Northfield, NJ 08225 | 2014-06-10 |
| 1811289481 | Heidi Anne Schnorr-leavy | Counselor | 1637 New Rd Ste 2a, Northfield, NJ 08225 | 2011-05-13 |
| 1972798643 | Abraham Abtahi Abtahian | Internal Medicine | 1001 New Road, Northfield, NJ 08225 | 2007-09-06 |
| Find all providers in zip 08225 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912357674 | Hillsborough Radiology Centers, LLC | Radiology | 375 Route 206, Suite 1, Hillsborough, NJ 08844-4651 | 2016-06-14 |
| 1447439955 | Michael James Triolo | Radiology | 79 New St, Englewood Cliffs, NJ 07632-2924 | 2007-10-31 |
| 1801008560 | Thomas Burton Barta | Radiology | 5 Fifth Street, Barnegat, NJ 08005-1218 | 2007-05-04 |
| 1104952290 | Ironbound Mri, LLC | Radiology | 119 Clifford Street, Newark, NJ 07105 | 2007-02-26 |
| 1811022288 | Stephen Wayne Thal | Radiology | 2501 Kuser Road, Hamilton, NJ 08691 | 2007-02-23 |
| 1942312053 | Lauren Loverde | Radiology | 501 Pebble Creek Ct, Pennington, NJ 08534-1943 | 2006-08-31 |
| 1285742932 | Karen Ann Burger | Radiology | 70 Winter Ln, Watchung, NJ 07069-6329 | 2006-08-25 |
| 1154356798 | Phillip F. Bahramipour | Radiology | 579 A Cranbury Road, East Brunswick, NJ 08816 | 2006-07-12 |
| 1982636759 | Ronald H. Wachsberg | Radiology | 40 Belmont Pl, Passaic, NJ 07055-4502 | 2006-07-06 |
| 1154367803 | University Radiology Group PC | Radiology | 579a Cranbury Road, University Radiology Group PC, East Brunswick, NJ 08816 | 2006-06-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTHFIELD |
| Zip Code | 08225 |
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| 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.