Justin J Marone PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JUSTIN J MARONE PC

Practice address

1457 N M 52
Owosso, MI 48867-1234

Phone

(989) 725-8436

Fax

(989) 723-8164

NPI assigned

Aug 29, 2007

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin J Marone, PCNPI 1104857796

Title

President

Phone

(989) 725-8436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JUSTINE J MARONE DO Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin John Marone, D.O.

  • Procedural Dermatology Physician
  • Owosso, MI
  • NPI 1104857796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1235323676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671234",
            "telephone_number": "989-725-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671234",
            "telephone_number": "989-725-8436",
            "fax_number": "989-723-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN J MARONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "MARONE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-725-8436",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4282097",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUSTINE J MARONE DO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marisa Nicole Jones
• Sophia Marie Jones, DSP
• Maylee Jane Jorae
• Rose Etta Judd
• Tammy Jupic, MD
• Aubrey Nicole Kage
• Thomas William Kalina, LMSW
• Kathryn M Karanja, LMSW
• Kylie J Kattelus, FNP
• Ronald H Kawauchi, MD

• Dermatology Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.