Active NPI
Marina Gerber, MD
- Anatomic Pathology & Clinical Pathology Physician
- Teterboro, NJ
National Provider Identifier
1003063082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA04946200
- Practice address
- 1 Malcolm Ave
Teterboro, NJ 07608-1011 - Phone
- (201) 393-5357
- Fax
- (201) 462-4712
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA04946200 | NJ | Primary |
Addresses
Primary practice location
1 Malcolm Ave
Teterboro, NJ 07608-1011
Mailing address
17 Glimpsewood LN
Morristown, NJ 07960-3767
Phone (973) 285-1621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04946200 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology PC | Past | Accepting new patients | |
| Howard D. Solomon, DO, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1003063082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GLIMPSEWOOD LN",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603767",
"telephone_number": "973-285-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MALCOLM AVE",
"city": "TETERBORO",
"state": "NJ",
"postal_code": "076081011",
"telephone_number": "201-393-5357",
"fax_number": "201-462-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "MARINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA04946200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teterboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.