Individual provider Active NPI

Andrew Marano, MD

  • Plastic Surgery Physician
  • Livingston, NJ
National Provider Identifier
1144683350
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
320454 Issued in NY
Practice address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone
(201) 449-1000
NPI assigned
Apr 4, 2016
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 320454 NY Primary

Addresses

Primary practice location

200 S Orange Ave
Livingston, NJ 07039-5817

Mailing address

200 S Orange Ave Ste 295
Livingston, NJ 07039-5817
Phone (201) 449-1000

Other practice location 1

79 Hudson St Ste 700
Hoboken, NJ 07030-5642
Phone (201) 449-1000

Other practice location 2

374 W 11th St
New York, NY 10014-6250
Phone (212) 433-0221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722002509 MA Practitioner - Plastic and Reconstructive Surgery 3577944412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
320454NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Advanced Plastic Surgery LLC Single Specialty CurrentSince Apr 1, 2013 Accepting new patients
Brigham & Womens Physicians Organization Inc Single Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8413

79 Hudson St
Ste 700
Hoboken, NJ 07030
Phone (201) 241-2626

200 S Orange Ave
Ste 295
Livingston, NJ 07039
Phone (201) 355-5861

Interoperability endpoints

  • Direct secure messaging: amarano68021@northwell.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1144683350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE STE 295",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "201-449-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "201-449-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Hudson St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305642",
            "country_code": "US",
            "telephone_number": "201-449-1000",
            "fax_number": "201-399-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 W 11th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100146250",
            "country_code": "US",
            "telephone_number": "212-433-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARANO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "320454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.