Ernesto J. Marticorena, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04155 Issued in NJ

Practice address

629 Newark Ave
Elizabeth, NJ 07208

Phone

(908) 355-3358

Fax

(908) 355-6614

NPI assigned

Dec 28, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth Chiropractic & Rehab, PA

  • Chiropractor
  • Elizabeth, NJ
  • NPI 1710154745
  Medicare reassignment
• Clifton Orthopedic Associates P.a.

  • Orthopaedic Surgery Physician
  • Clifton, NJ
  • NPI 1508130444
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093792376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-355-3358",
            "fax_number": "908-355-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-355-3358",
            "fax_number": "908-355-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTICORENA",
        "first_name": "ERNESTO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Marling, MD
• Leonardo Jose Marmolejos Pimentel, MD
• Maro Medical & Surgical Supplies,Inc
• Suzelle C Marques, LPC
• Sarah Marti Roy
• Otilia Marticorena, DMD
• Melissa Ann Martin, FNP
• Nadine Martin, LCSW
• Kleidy Martinez-Prado
• Alissa Nicole Martinez

• Chiropractor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.