MARCELO MARIN (NPI# 1730582800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730582800 |
| Entity Type | Individual |
| Full Name | MARCELO MARIN |
| Credential | DNP |
| Practice Address |
148 Engle St Englewood NJ 07631-2581 |
| Practice Telephone | 2015691530 |
| Practice Fax Number | 2015696022 |
| Mailing Telephone | 2015691530 |
| Mailing Fax Number | 2015696022 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00516200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9225 Kennedy Blvd Ste A, North Bergen, NJ 070475361 | 2018692707 | 2018692717 |
| Street Address |
148 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487769923 | Diana M Portilla | Internal Medicine | 148 Engle St, Englewood, NJ 07631-2581 | 2006-08-21 |
| 1366693145 | Englewood Family Health Center, Pa | Internal Medicine | 148 Engle St, Englewood, NJ 07631-2581 | 2008-10-10 |
| 1629158407 | Rafael Latorre | Internal Medicine | 148 Engle St, Englewood, NJ 07631-2581 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578096665 | Stacey Colleen Wynne-urbanowicz | Nurse Practitioner | 11293 E Ida Pl, Englewood, CO 80111-4102 | 2017-04-06 |
| 1558688978 | Gabrielle Faith Schwartzbard | Nurse Practitioner | 9 Cliff Dr, Englewood, NJ 07631-5056 | 2010-04-24 |
| 1225635238 | Jessica Irene Hernandez | Nurse Practitioner | 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 | 2020-10-02 |
| 1093339848 | Zohra Moshref | Nurse Practitioner | 140 Grand Ave, Englewood, NJ 07631-6581 | 2020-06-07 |
| 1114982162 | Kathleen M Mickey | Nurse Practitioner | 601 E Hampden Ave, # 430, Englewood, CO 80113-3781 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.