Jovencio Dayao Marcelino, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA02705700 Issued in NJ

Practice address

20 Wilshire Way
Holmdel, NJ 07733-1934

Phone

(732) 946-7656

NPI assigned

Jan 23, 2012

Last updated

Jan 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1093086027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILSHIRE WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331934",
            "telephone_number": "732-946-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILSHIRE WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331934",
            "telephone_number": "732-946-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELINO",
        "first_name": "JOVENCIO",
        "middle_name": "DAYAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA02705700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Farrah Malit, DO
• Sarah Pierce Mancini, L.C.S.W., L.C.A.D.C.
• Kymberlee Llanillo Manlapaz, PA-C
• Elie Mansour, MD FCCP
• Maila Marie Mantila, NP-C
• Michael Marchetti, MD
• Joseph Marino III, LCADC
• Richard P Marino, D.O.
• Brianna Marrone, NP
• Daniella Maria Marrone, FNP

• Urology Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.