Organization Active NPI

Michael L. Marone, M. D.

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1023221678
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA02358700 Issued in NJ
Legal business name
MICHAEL L. MARONE, M. D.
Practice address
707 White Horse Rd
Suite C105
Voorhees, NJ 08043-2461
Phone
(856) 309-9700
Fax
(856) 309-9192
NPI assigned
May 8, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Diana Mary Souder
Title
Office Manager
Phone
(856) 309-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA02358700 NJ Primary

Addresses

Primary practice location

707 White Horse Rd
Suite C105
Voorhees, NJ 08043-2461

Mailing address

707 White Horse Rd
Suite C105
Voorhees, NJ 08043-2461
Phone (856) 309-9700

Other identifiers 1

IdentifierTypeStateIssuer
2239809MedicaidNJ

National Provider Directory

National Provider Directory

Locations

707 White Horse Rd
Ste C105
Voorhees, NJ 08043
Phone (856) 258-4966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1023221678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-309-9700",
            "fax_number": "856-309-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-309-9700",
            "fax_number": "856-309-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. MARONE, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SOUDER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-309-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02358700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2239809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.