Active NPI
John William Marx, DMD
- Dentist
- Red Bank, NJ
National Provider Identifier
1225246887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17187
- Practice address
- 565 State Route 35
Red Bank, NJ 07701-5047 - Phone
- (732) 741-0070
- Fax
- (732) 741-4040
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17187 | NJ | Primary |
Addresses
Primary practice location
565 State Route 35
Red Bank, NJ 07701-5047
Mailing address
565 State Route 35
Red Bank, NJ 07701-5047
Phone (732) 741-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218000297 | NJ | Order and Referring Only - Dentist | 9931404670 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17187 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225246887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 STATE ROUTE 35",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015047",
"telephone_number": "732-741-0070",
"fax_number": "732-741-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 STATE ROUTE 35",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015047",
"telephone_number": "732-741-0070",
"fax_number": "732-741-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "17187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
- Kristy Martell, BCBA
- Kelsie Martinetti, PA-C
- Angelica Montserrat Martinez-Analco, LSW
- Adriana Marton, MD
- Enza N Marucci
- Mary Jo Alburtus Inc
- Joseph Anthony Marzano, M.D.
- Christina Marzelli, OD
- Masciangelo Physical Therapy LLC (Connectivity Therapy and Holistic Health)
- Mary Jane Elizabeth Maser, PHD, APRN, BC
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.