Organization Active NPI

Marron Family Wellness Center LLC

  • Chiropractor
  • Eatontown, NJ
National Provider Identifier
1437473345
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00267900 Issued in NJ
Legal business name
MARRON FAMILY WELLNESS CENTER LLC
Practice address
615 Hope Rd
Building 2a
Eatontown, NJ 07724-1273
Phone
(732) 542-1272
Fax
(732) 542-2315
NPI assigned
Mar 22, 2010
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. David Marron, DCNPI 1891813168
Title
President
Phone
(732) 542-1272

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00267900 NJ Primary
Acupuncturist 171100000X 25MZ00069400 NJ
Acupuncturist 171100000X 25MZ00035200 NJ
Physical Therapist 225100000X 40QA00411800 NJ
Physical Therapist 225100000X 40QA01360400 NJ

Addresses

Primary practice location

615 Hope Rd
Building 2a
Eatontown, NJ 07724-1273

Mailing address

615 Hope Rd
Building 2a
Eatontown, NJ 07724-1273
Phone (732) 542-1272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000771 NJ Part B Supplier - Clinic/Group Practice 3870785173 Receives reassigned benefits from 5 practitioners
Practice locations: Eatontown, NJ

National Provider Directory

National Provider Directory

Locations

615 Hope Rd
Ste 2A
Eatontown, NJ 07724
Phone (732) 233-6448

179 Avenue At the Cmn
Ste 5
Shrewsbury, NJ 07702
Phone (732) 542-1272

Practitioners & affiliated clinicians

Practitioners 7

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": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1437473345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BUILDING 2A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "732-542-1272",
            "fax_number": "732-542-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BUILDING 2A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "732-542-1272",
            "fax_number": "732-542-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRON FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "MARRON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-542-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00267900",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00069400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00035200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00411800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01360400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.