Organization Active NPI

Gjmec & LT LLC

Doing business as doc visits at home

  • Adult Medicine Physician
  • Denville, NJ
National Provider Identifier
1033544531
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
GJMEC & LT LLC
Doing business as
doc visits at home
Practice address
54 Nicole Dr
Denville, NJ 07834-9531
Phone
(201) 650-1855
Fax
(973) 366-4315
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Gennaro J Marino Sr., DONPI 1235197559
Title
President/Ceo
Phone
(201) 650-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X NU

Addresses

Primary practice location

54 Nicole Dr
Denville, NJ 07834-9531

Mailing address

54 Nicole Dr
Denville, NJ 07834-9531
Phone (201) 650-1855

Other names 1

  • doc visits at home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131019000003 NJ Part B Supplier - Clinic/Group Practice 9032344437 Receives reassigned benefits from 2 practitioners
Practice locations: Denville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1033544531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NICOLE DR",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078349531",
            "telephone_number": "201-650-1855",
            "fax_number": "973-366-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 NICOLE DR",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078349531",
            "telephone_number": "201-650-1855",
            "fax_number": "973-366-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJMEC & LT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "GENNARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-650-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "doc visits at home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.