Organization Active NPI

Andrea C Marana LLC

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1336512664
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANDREA C MARANA LLC
Practice address
65 N Maple Ave
Suite212
Ridgewood, NJ 07450-3233
Phone
(201) 805-5764
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Andrea Cesira MaranaNPI 1972937860
Title
Owner
Phone
(201) 947-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

65 N Maple Ave
Suite212
Ridgewood, NJ 07450-3233

Mailing address

115 Broad Ave
Leonia, NJ 07605-2020
Phone (201) 947-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116001868 NJ Part B Supplier - Clinic/Group Practice 4880904184 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

395 Pleasant Valley Way
Ste 4
West Orange, NJ 07052
Phone (201) 805-5764

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1336512664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROAD AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052020",
            "telephone_number": "201-947-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MAPLE AVE",
            "address_2": "SUITE212",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503233",
            "telephone_number": "201-805-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA C MARANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "MARANA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CESIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-947-9773"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.