Marianne Elizabeth De Gennaro, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB06729500 Issued in NJ

Practice address

370 Hwy 35
Suite 200
Red Bank, NJ 07701-5922

Phone

(732) 530-5437

Fax

(732) 219-5437

NPI assigned

Oct 3, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1124113691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HWY 35",
            "address_2": "SUITE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015922",
            "telephone_number": "732-530-5437",
            "fax_number": "732-219-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HWY 35",
            "address_2": "SUITE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015922",
            "telephone_number": "732-530-5437",
            "fax_number": "732-219-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GENNARO",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "179827",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB06729500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Davis, M.S.W., LCSW
• Susan E. Davis, PT
• Teresa Dawe, LCSW
• Jasmine Daye, LSW
• DB Orthopedic Physical Therapy, PC (db OrthoPT - Red Bank)
• Jessica Joselyn De la Rosa, BSW
• Nicholas De Leo, MD
• Nelson Nunes De Lima Neto, DMD
• Lea De Maio
• Joseph A Deantonio Sr., DMD

• Pediatrics Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.