MARLBORO GASTROENTEROLOGY RADIOLOGY PC


Address: 50 Franklin Ln, Suite 201, Manalapan, NJ 07726-2773
Phone: 7329726996

MARLBORO GASTROENTEROLOGY RADIOLOGY PC (NPI# 1629027503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629027503
Entity Type Organization
Organization Name MARLBORO GASTROENTEROLOGY RADIOLOGY PC
Practice Address 50 Franklin Ln
Suite 201
Manalapan
NJ 07726-2773
Practice Telephone 7329726996
Practice Fax Number 7329728610
Mailing Telephone 7329726996
Mailing Fax Number 7329728610
Enumeration Date 2006-05-09
Last Update Date 2007-07-30
Authorized Official Name DR. BRIAN CHARLES WEINER (PRESIDENT)
Authorized Official Telephone 7329726996
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
24114 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7519401 05

Office Location

Street Address 50 FRANKLIN LN
SUITE 201
City MANALAPAN
State NJ
Zip Code 07726-2773

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1689788176 Denise Dipierri Nurse Practitioner 50 Franklin Ln, Manalapan, NJ 07726-2773 2006-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1336761600 Jenna J Baratta Occupational Therapist 1 Colleen Ct, Manalapan, NJ 07726 2020-05-10
1588206379 Molly Marcus Social Worker 300 Corporate Ctr Dr Ste 100, Manalapan, NJ 07726 2019-10-13
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MANALAPAN
Zip Code 07726

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Dataset Information

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.

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