John Marin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00350700 Issued in NJ

Practice address

36 Newark Ave
Belleville, NJ 07109-4119

Phone

(973) 759-6569

NPI assigned

Nov 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family MD LLCGroup PAC ID 9234525197, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family MD LLC

  • Urgent Care Clinic/Center
  • Newark, NJ
  • NPI 1962176479
  Medicare reassignment Care Compare group
• Advanced General Medicine

  • Primary Care Clinic/Center
  • Elizabeth, NJ
  • NPI 1609524941
  Medicare reassignment NPD
• Excel Medical Group PC

  • Primary Care Clinic/Center
  • North Bergen, NJ
  • NPI 1518643444
  Medicare reassignment NPD
• Clark Dermatology LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Clark, NJ
  • NPI 1851562425
  Medicare reassignment
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NJ, NY

  Medicare reassignment
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment
• Family MD LLC

  • Clinic/Center
  • Newark, NJ
  • NPI 1538851779
  NPD
• Clark Dermatology, LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1417316274
  NPD (past)
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1376948364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSS ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422602",
            "telephone_number": "862-237-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094119",
            "telephone_number": "973-759-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018032",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00350700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamile Manotas, M.ED., LPC
• Ivy Lou Manubag
• Jennifer Marcus, MD
• Cindy Margaritonda, R.PH
• Mariapaz Home Care, Inc.
• Robert A Marini, M.D.
• Frank James Mark, CRNA
• Roman Markh, PA-C
• Marriage & Family Counseling Center
• Marriage & Family Counseling Center

• Physician Assistant in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.