Individual provider Active NPI

Jennifer Marcus, MD

  • Anesthesiology Physician
  • Belleville, NJ
National Provider Identifier
1295834174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08056800 Issued in NJ
Practice address
One Clara Maass Dr
Belleville, NJ 07109
Phone
(908) 653-9399
Fax
(908) 653-9305
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08056800 NJ Primary

Addresses

Primary practice location

One Clara Maass Dr
Belleville, NJ 07109

Mailing address

P.O. Box 128
Union, NJ 07083
Phone (866) 291-9707

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
I20071214000000 NJ Practitioner - Anesthesiology 4880784883 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Alliance LLC CurrentSince Apr 15, 2014 Accepting new patients
North Jersey Spine Group LLC Current Accepting new patients
Vivian K. Bethala, MD PA CurrentSince Jan 6, 2014 Accepting new patients
Pforp Health LLC Current Accepting new patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Aug 24, 2011 Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA PastSince Jun 1, 2022 Accepting new patients
Anesthesia Associates of NJ LLC Anesthesiology Past Accepting new patients
County Wide Anesthesia Group, LLC Past Accepting new patients
Northern New Jersey Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Northern Anesthesia, P.a. Anesthesiology Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556

Interoperability endpoints

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

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295834174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 128",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "866-291-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08056800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.