Marilee Medical, LLC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

Legal business name

MARILEE MEDICAL, LLC

Practice address

290 Lafayette Ave Ste 202
Hawthorne, NJ 07506-1928

Phone

(973) 363-4850

Fax

(973) 363-4606

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly A Miletti, NP-CNPI 1386266179

Title

Nurse Practitioner

Phone

(201) 466-0938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Kimberly A Miletti, APN

  • Gerontology Nurse Practitioner
  • Hawthorne, NJ
  • NPI 1386266179
  Medicare reassignment NPD Authorized official
• Luke Edmund Eyerman, M.D.

  • Family Medicine Physician
  • Palisades Park, NJ
  • NPI 1225021405
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1376227330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062424",
            "telephone_number": "201-280-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LAFAYETTE AVE STE 202",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061928",
            "telephone_number": "973-363-4850",
            "fax_number": "973-363-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILEE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "MILETTI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "201-466-0938",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M M Medical Associates LLC
• Shazia Majeed, LAC
• Anthony Mangieri, PA
• Marie Louise Mannino, M.D.
• Vincent A. Margherita, DDS
• Jillian Lee Marmo, LCADC, LCSW
• Alexander R Mazziotti, M.D.
• Joselyn A McClatchey, LCSW
• Med-Group LLC
• Medical Claims Billing Florida, L.L.C. (MCB DME)

• General Practice Registered Nurse in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• General Practice Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.