Active NPI
Richard H Marzo, D.C.
- Chiropractor
- Matawan, NJ
National Provider Identifier
1154405199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03918
- Practice address
- 1070 State Route 34
Suite U
Matawan, NJ 07747-3469 - Phone
- (732) 888-8441
- Fax
- (732) 888-8407
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03918 | NJ | Primary |
Addresses
Primary practice location
1070 State Route 34
Suite U
Matawan, NJ 07747-3469
Mailing address
1070 State Route 34
Suite U
Matawan, NJ 07747-3469
Phone (732) 888-8441
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41817242 | Other | NJ | MULTIPLAN |
| 62688 | Other | NJ | CCN |
| 62688 | Other | NJ | FIRST HEALTH |
| 22747 | Other | NJ | AMERIGROUP |
| 5801563 | Other | NJ | GHI |
| 300052 | Other | NJ | ASH |
| 050063918NJ01 | Other | NJ | ANTHEM |
| 4586301 | Medicaid | NJ | |
| X51421 | Other | NJ | EMPIRE BLUE |
| P1230774 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070529000315 | NJ | Practitioner - Chiropractic | 9931206844 | Practice locations: Matawan, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1070 State Route 34
U
Matawan, NJ 07747-3481
Phone (732) 566-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03918 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Wellness and Pain Relief | Chiropractor | Current | Accepting new patients |
Locations
1070 State Route 34
Ste U
Matawan, NJ 07747
Phone (732) 566-8700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Matawan, NJ
- NPI 1306661376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154405199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 STATE ROUTE 34",
"address_2": "SUITE U",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473469",
"telephone_number": "732-888-8441",
"fax_number": "732-888-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 STATE ROUTE 34",
"address_2": "SUITE U",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473469",
"telephone_number": "732-888-8441",
"fax_number": "732-888-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZO",
"first_name": "RICHARD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "03918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "41817242",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "62688",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "62688",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "22747",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5801563",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "300052",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "050063918NJ01",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4586301",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE",
"identifier": "X51421",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1230774",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.