DR. MARY T MARTUCCI (NPI# 1568478915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568478915 |
| Entity Type | Individual |
| Full Name | DR. MARY T MARTUCCI |
| Credential | DO |
| Practice Address |
901 W Main St Freehold NJ 07728-2537 |
| Practice Telephone | 7324312000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
25MB06531900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7260105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114426517 | Mary Martucci | Social Worker | 2045 Westgate Dr Ste 304, Bethlehem, PA 18017-7475 | 2018-02-12 |
| Street Address |
901 W MAIN ST |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476073 | Ted Gutowski | Internal Medicine | 901 W Main St, Suite 205, Freehold, NJ 07728-2537 | 2005-06-13 |
| 1982205134 | Natalie Meltzer | Dietitian, Registered | 901 W Main St, Freehold, NJ 07728-2537 | 2020-11-04 |
| 1679172894 | Dorea Dimaggio | Physician Assistant | 901 W Main St, Freehold, NJ 07728-2537 | 2020-10-19 |
| 1801401708 | Karan Adalja | Pharmacist | 901 W Main St, Freehold, NJ 07728-2537 | 2020-09-09 |
| 1245852631 | Lisa J Rivera | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2020-05-08 |
| 1932733821 | Karen Cohen | Physical Therapist | 901 W Main St, Freehold, NJ 07728-2537 | 2020-02-28 |
| 1396380952 | Melina R Hughes | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-11-07 |
| 1003450677 | Deborah A Foley | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2019-11-06 |
| 1992353007 | Megan Brittany Restua | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-09-02 |
| 1659929164 | Suzanne Chrebet | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124336623 | Sang M Lee, Md Pa | Surgery | 65 Mountain Blvd Ext., Suite 206, Warren, NJ 07059-2633 | 2010-09-17 |
| 1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
| 1376785360 | Vadim P Koshenkov | Surgery | 195 Little Albany St Ste 3001, New Brunswick, NJ 08901-1914 | 2009-04-06 |
| 1699927566 | Thomas Lee Jang | Surgery | 195 Little Albany Street, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903 | 2008-10-22 |
| 1265690549 | Richard Stockton Weeder | Surgery | 45 Green Ave, Lawrenceville, NJ 08648-1623 | 2008-05-23 |
| 1275708067 | John Alkhas | Surgery | 38 Sawgrass St, Jackson, NJ 08527-4023 | 2008-04-23 |
| 1700086360 | Ames Lawrence Filippone Jr. | Surgery | 22 Hilltop Cir, Morristown, NJ 07960-6328 | 2007-07-23 |
| 1396758983 | Sang M Lee | Surgery | 65 Mountain Blvd. Ext., Suite 206, Warren, NJ 07059-2633 | 2006-08-14 |
| 1962421339 | Martin S Karpeh | Surgery | 20 Prospect Ave Suite 406, Hackensack Umc, Hackensack, NJ 07601 | 2006-07-18 |
| 1083665053 | Thangamani Seenivasan | Surgery | 30 Rehill Avenue, Suite 3400, Somerville, NJ 08876-2500 | 2006-05-15 |
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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.