Domenic L Mariano, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MB05816800 Issued in NJ

Practice address

946 Bloomfield Ave
Glen Ridge, NJ 07028

Phone

(973) 743-1121

Fax

(973) 743-2627

NPI assigned

Feb 24, 2006

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score

96.09 of 100Reported as apm

Quality

86.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmariano191393@ahs.direct-ci.com
• Direct secure messaging: dmariano236511@direct.englewoodhealth.org
• Direct secure messaging: dmariano260812@epicdirect.rwjbh.org

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.

• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment Care Compare group NPD
• Dmac Vascular Lab LLC

  • Vascular & Interventional Radiology Physician
  • Glen Ridge, NJ
  • NPI 1023774031
  Medicare reassignment NPD
• Magnus Imaging, LLC

  • Specialist
  • Glen Ridge, NJ
  • NPI 1447334990
  Authorized official Same address or phone
• Irpus Electrophysiology LLC

  • Clinical Cardiac Electrophysiology Physician
  • Glen Ridge, NJ
  • NPI 1780871285
  NPD
• Dominick Condo MD PA

  • Non-Pharmacy Dispensing Site
  • Bayonne, NJ
  • NPI 1770904138
  NPD (past)
• Dominick Condo, MD PA

  • Internal Medicine Physician
  • Bayonne, NJ
  • NPI 1588764500
  NPD (past)

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Montclair Hospital LLC

  dba HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1457327975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-743-1121",
            "fax_number": "973-743-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-743-1121",
            "fax_number": "973-743-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "DOMENIC",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB05816800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7338201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Melinda Magioncalda, MSN, APRN, FNP- BC
• Magnus Imaging, LLC
• Hassan Malik
• Rachel Manez
• Maranatha Pharmacy Services (Transformational Pharmacy Services)
• Kellie Ann McGuire, FNP
• Mecap Inc (Glen Ridge Pharmacy)
• Andrea R. Medel, P.A.
• Medical Assoc of Montclair
• Medical Associates of Montclair

• Cardiovascular Disease Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.