Active NPI
Mario J. Arena, M.D., P.C.
- Orthopaedic Surgery Physician
- Haddon Heights, NJ
National Provider Identifier
1013109669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA52390
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 024494E | PA | |
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077129 | Other | NJ | MEDICARE ID |
| 163142 | Other | PA | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.