Individual provider Active NPI

Marcela C. Marani-Dicovskiy, M.D.

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1386727287
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA892486 Issued in NJ
Practice address
681 Broadway
Paterson, NJ 07514
Phone
(973) 278-1000
Fax
(973) 278-1709
NPI assigned
Oct 23, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA892486 NJ Primary

Addresses

Primary practice location

681 Broadway
Paterson, NJ 07514

Mailing address

681 Broadway
Paterson, NJ 07514-1421
Phone (973) 278-1000

Other identifiers 1

IdentifierTypeStateIssuer
7292601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000338 NJ Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Family PracticePractitioner - Preventive Medicine 8123063104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice, Preventive Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
C. Dicovsky Medical Group, LLCGroup PAC ID 9537347737, 2 clinicians

Practice addresses (Care Compare)

681 Broadway
Paterson, NJ 07514-1421
Phone (973) 278-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA892486NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C. Dicovsky Medical Group, LLC Internal Medicine CurrentSince Nov 22, 1996 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

681 Broadway
Paterson, NJ 07514
Phone (973) 278-1000

681 Broadway
#C
Paterson, NJ 07514

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1386727287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141421",
            "telephone_number": "973-278-1000",
            "fax_number": "973-278-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "973-278-1000",
            "fax_number": "973-278-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANI-DICOVSKIY",
        "first_name": "MARCELA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA892486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7292601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.