Individual provider Active NPI

Maritza Georgette Parreno, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1215048871
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA064987 Issued in NJ
Practice address
200 Perrine Rd
Suite 220
Old Bridge, NJ 08857-2842
Phone
(732) 721-1600
Fax
(732) 721-1635
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA064987 NJ Primary

Addresses

Primary practice location

200 Perrine Rd
Suite 220
Old Bridge, NJ 08857-2842

Mailing address

200 Perrine Rd
Suite 220
Old Bridge, NJ 08857-2842
Phone (732) 721-1600

Other identifiers 1

IdentifierTypeStateIssuer
7827202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140514001022 NJ Practitioner - Internal Medicine 9739302076 Reassigns benefits to 2 organizations
I20191018000729 DE Practitioner - Internal Medicine 9739302076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

Hospital & facility affiliations

  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064987NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Holmdel Physician Associates CurrentSince Mar 5, 2018 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Mar 27, 2018 Accepting new patients

Locations

503 W Market St
Georgetown, DE 19947
Phone (302) 297-2587

1526 Savannah Rd
Lewes, DE 19958
Phone (302) 645-1805

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1215048871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 220",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-721-1600",
            "fax_number": "732-721-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 220",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-721-1600",
            "fax_number": "732-721-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRENO",
        "first_name": "MARITZA",
        "middle_name": "GEORGETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA064987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7827202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.