Organization Active NPI

Mario J. Arena, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Haddon Heights, NJ
National Provider Identifier
1013109669
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA52390 Issued in NJ
Legal business name
MARIO J. ARENA, M.D., P.C.
Practice address
17 White Horse Pike
Suite 3
Haddon Heights, NJ 08035-1299
Phone
(856) 310-0002
Fax
(856) 310-0003
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pam McDonough
Title
Bookkeeper
Phone
(856) 310-0002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 024494E PA
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X MA52390 NJ Primary

Addresses

Primary practice location

17 White Horse Pike
Suite 3
Haddon Heights, NJ 08035-1299

Mailing address

17 White Horse Pike
Suite 3
Haddon Heights, NJ 08035-1299
Phone (856) 310-0002

Other identifiers 2

IdentifierTypeStateIssuer
077129OtherNJMEDICARE ID
163142OtherPAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040504000082 NJ Part B Supplier - Clinic/Group Practice 1254329709 Receives reassigned benefits from 1 practitioner
Practice locations: Haddon Heights, NJ
O20070817000245 PA Part B Supplier - Clinic/Group Practice 1254329709 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

17 White Horse Pike
Ste 3
Haddon Hgts, NJ 08035
Phone (856) 310-0002

2410 S Broad St
Ste 200
Philadelphia, PA 19145
Phone (215) 334-3350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1013109669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 3",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-310-0002",
            "fax_number": "856-310-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 3",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-310-0002",
            "fax_number": "856-310-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J. ARENA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "856-310-0002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "024494E",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA52390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "077129",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "163142",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.