Individual provider Active NPI

Marielle Recho, M.D.

  • Internal Medicine Physician
  • Eatontown, NJ
National Provider Identifier
1275739799
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08282700 Issued in NJ
Practice address
117 State Route 35
Eatontown, NJ 07724-1885
Phone
(732) 542-4411
Fax
(732) 542-1070
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 25MA08282700 NJ Primary

Addresses

Primary practice location

117 State Route 35
Eatontown, NJ 07724-1885

Mailing address

117 State Route 35
Eatontown, NJ 07724-1885
Phone (732) 542-4411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000317 NJ Practitioner - Internal Medicine 4183707193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Eatontown Primary Care, LLCGroup PAC ID 8426065194, 2 clinicians

Practice addresses (Care Compare)

117 Hwy 35
Eatontown, NJ 07724-1885
Phone (732) 542-4411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
77.47
Improvement activities
40
Cost
86.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eatontown Primary Care, LLC CurrentSince Dec 23, 2016 Accepting new patients

Locations

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

117 Highway 35
Ste 1
Eatontown, NJ 07724

117 Highway 35
Eatontown, NJ 07724
Phone (732) 389-0266

200 Metroplex Dr
Edison, NJ 08817
Phone (732) 235-4351

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCCCA/Endpoint/GBCCCA

Organizations & group practices 1

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 1

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1275739799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STATE ROUTE 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241885",
            "telephone_number": "732-542-4411",
            "fax_number": "732-542-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 STATE ROUTE 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241885",
            "telephone_number": "732-542-4411",
            "fax_number": "732-542-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHO",
        "first_name": "MARIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08282700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.