Active NPI
Lorenzo E. Marchese Jr., DC
- Chiropractor
- Nutley, NJ
National Provider Identifier
1184790636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02677
- Practice address
- 3 Howe Ave
Nutley, NJ 07110-1307 - Phone
- (973) 667-2342
- Fax
- (973) 667-7246
- NPI assigned
- Nov 27, 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 | MC02677 | NJ | Primary |
Addresses
Primary practice location
3 Howe Ave
Nutley, NJ 07110-1307
Mailing address
3 Howe Ave
Nutley, NJ 07110-1307
Phone (973) 667-2342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170110001014 | NJ | Practitioner - Chiropractic | 8123309960 | Practice locations: Nutley, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Howe Ave
Nutley, NJ 07110-1307
Phone (973) 667-2342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02677 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1184790636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HOWE AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101307",
"telephone_number": "973-667-2342",
"fax_number": "973-667-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOWE AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101307",
"telephone_number": "973-667-2342",
"fax_number": "973-667-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESE",
"first_name": "LORENZO",
"middle_name": "E.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.