Active NPI
Marco Antonio Pelosi II, MD
- Gynecology Physician
- Bayonne, NJ
National Provider Identifier
1275652745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA02710500
- Practice address
- 350 Kennedy Blvd
Bayonne, NJ 07002-1313 - Phone
- (201) 858-1800
- Fax
- (201) 858-1002
- NPI assigned
- Mar 28, 2007
- Last updated
- Nov 21, 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25MA02710500 | NJ | Primary |
Addresses
Primary practice location
350 Kennedy Blvd
Bayonne, NJ 07002-1313
Mailing address
350 Kennedy Blvd
Bayonne, NJ 07002-1313
Phone (201) 858-1800
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160415000994 | NJ | Order and Referring Only - Gynecological Oncology | 2769508548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients | |
| Jay M Zelinski D.O. PHD P.C. | Past | Accepting new patients |
Interoperability endpoints
- marco.pelosi@direct.bayonnemedicalcenter.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Bayonne, NJ
- NPI 1356459796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1275652745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 KENNEDY BLVD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021313",
"telephone_number": "201-858-1800",
"fax_number": "201-858-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 KENNEDY BLVD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021313",
"telephone_number": "201-858-1800",
"fax_number": "201-858-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOSI",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA02710500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.