Organization Active NPI

Robert Marsico Inc.

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1053405530
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00842100 Issued in NJ
Legal business name
ROBERT MARSICO INC.
Doing business as
Galloway Orthopedic Physical Therapy
Practice address
408 Chris Gaupp Dr
Suite 200
Galloway, NJ 08205-4489
Phone
(609) 652-3774
Fax
(609) 652-3776
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Robert Marsico, PT, ED D
Title
President/Owner
Phone
(609) 652-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00842100 NJ Primary

Addresses

Primary practice location

408 Chris Gaupp Dr
Suite 200
Galloway, NJ 08205-4489

Mailing address

408 Chris Gaupp Dr
Suite 200
Galloway, NJ 08205-4489
Phone (609) 652-3774

Other names 1

  • Galloway Orthopedic Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

408 Chris Gaupp Dr
Ste 200
Galloway, NJ 08205
Phone (609) 652-3774

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1053405530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR",
            "address_2": "SUITE 200",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054489",
            "telephone_number": "609-652-3774",
            "fax_number": "609-652-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR",
            "address_2": "SUITE 200",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054489",
            "telephone_number": "609-652-3774",
            "fax_number": "609-652-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MARSICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MARSICO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-652-3774",
        "authorized_official_credential": "PT, ED D"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00842100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galloway Orthopedic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.