Marc P Gimbel, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

16584 Issued in NJ

Practice address

150 River Rd
Suite K-3
Montville, NJ 07045-9441

Phone

(973) 335-8046

Fax

(973) 335-8246

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 6, 2015 through May 6, 2027

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 and National Provider Directory roles.

• Montville Endodontics, LLC

  • Endodontics
  • Montville, NJ
  • NPI 1356629638
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194832675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE K-3",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-335-8046",
            "fax_number": "973-335-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE K-3",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-335-8046",
            "fax_number": "973-335-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "MARC",
        "middle_name": "P",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "16584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generation Pharmacy Group, LLC
• Ted Michael Gerszberg, M.D.
• Tara Ann Gieger, RDH
• Janine Gillott, LSW
• Andrew Philip Gilmartin, MD
• Raymond Scott Giordano
• Robyn Lynn Giordano, LCSW, CADDCT
• Janet Gitterman, L.C.S.W.
• Joseph Giudice, PSY.D.
• Cory Alan Golloub, M.D.

• Endodontics in Montville, NJ
• Providers in Montville, NJ by specialty
• Endodontics 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; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.