Elaine Mariolis, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD002595 Issued in NJ

Legal business name

ELAINE MARIOLIS, DPM, LLC

Practice address

252 Smith St
Perth Amboy, NJ 08861-4004

Phone

(732) 826-5400

Fax

(732) 826-5488

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Elaine MariolisNPI 1033163233

Title

Ceo

Phone

(732) 826-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Mariolis, D.P.M.

  • Podiatrist
  • Perth Amboy, NJ
  • NPI 1033163233
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1255518684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614004",
            "telephone_number": "732-826-5400",
            "fax_number": "732-826-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE MARIOLIS, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MARIOLIS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-826-5400"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane J Dyson, MD
• Lynda Anne Earley, R.N.
• Edison Drugs & Surgical Inc (Town Drugs & Surgical)
• Jaclyn N Edwers, RN
• Syed Usman Mohsin Ehsanullah, MD
• Embrace Your Abilities LLC
• Enhanced Physical Therapy
• Diana Erian
• Usama Rushdy Wahba Eskaros, PHARMACIST
• Cesar III Cinco Estalilla, APN

• Foot & Ankle Surgery Podiatrist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.