Individual provider Active NPI

Elaine Mariolis, D.P.M.

  • Podiatrist
  • Perth Amboy, NJ
National Provider Identifier
1033163233
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002595 Issued in NJ
Practice address
252 Smith St
Perth Amboy, NJ 08861-4004
Phone
(732) 826-5400
Fax
(732) 826-5488
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002595 NJ Primary

Addresses

Primary practice location

252 Smith St
Perth Amboy, NJ 08861-4004

Mailing address

252 Smith St
Perth Amboy, NJ 08861-4004
Phone (732) 826-5400

Other identifiers 1

IdentifierTypeStateIssuer
8730105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000249 NJ Practitioner - Podiatry 5991693129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

252 Smith St
Perth Amboy, NJ 08861-4004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions49
Removal of nail tissue1261
Removal or shaving of skin growth572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002595NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elaine Mariolis, DPM, LLC Podiatrist CurrentSince Nov 1, 2001 Accepting new patients

Locations

252 Smith St
Perth Amboy, NJ 08861
Phone (732) 826-5400

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033163233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614004",
            "telephone_number": "732-826-5400",
            "fax_number": "732-826-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614004",
            "telephone_number": "732-826-5400",
            "fax_number": "732-826-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIOLIS",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8730105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.