Organization Active NPI

Chilton Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pompton Plaine, NJ
National Provider Identifier
1346207479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CHILTON EMERGENCY PHYSICIANS LLC
Practice address
97 West Parkway
Chilton Memorial Hospital
Pompton Plaine, NJ 07444
Phone
(973) 831-5000
Fax
(201) 444-3604
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gennaro Joseph Marino Sr., DONPI 1235197559
Title
President
Phone
(973) 831-5000

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
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

97 West Parkway
Chilton Memorial Hospital
Pompton Plaine, NJ 07444

Mailing address

PO Box 8500-2721
Chilton Emergency Physicians LLC
Philadelphia, PA 19178-2721
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
0052388MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346207479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-2721",
            "address_2": "CHILTON EMERGENCY PHYSICIANS LLC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191782721",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WEST PARKWAY",
            "address_2": "CHILTON MEMORIAL HOSPITAL",
            "city": "POMPTON PLAINE",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-831-5000",
            "fax_number": "201-444-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILTON EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "GENNARO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-831-5000",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052388",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.