Organization Active NPI

Ridgedale Family Medical Associates, PC

  • General Practice Physician
  • East Hanover, NJ
National Provider Identifier
1295969152
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA059758 Issued in NJ
Legal business name
RIDGEDALE FAMILY MEDICAL ASSOCIATES, PC
Practice address
383 Ridgedale Ave
East Hanover, NJ 07936-1445
Phone
(973) 887-0200
Fax
(973) 887-4965
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Giuseppe Marzella, M.D.
Title
President
Phone
(973) 887-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MA059758 NJ Primary

Addresses

Primary practice location

383 Ridgedale Ave
East Hanover, NJ 07936-1445

Mailing address

383 Ridgedale Ave
East Hanover, NJ 07936-1445
Phone (973) 887-0200

National Provider Directory

National Provider Directory

Locations

383 Ridgedale Ave
Ste 1
East Hanover, NJ 07936
Phone (773) 887-0200

383 Ridgedale Ave
Ste 8
East Hanover, NJ 07936
Phone (773) 887-0200

383 Ridgedale Ave
East Hanover, NJ 07936
Phone (973) 641-2131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1295969152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361445",
            "telephone_number": "973-887-0200",
            "fax_number": "973-887-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361445",
            "telephone_number": "973-887-0200",
            "fax_number": "973-887-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEDALE FAMILY MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "MARZELLA",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-887-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA059758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.