Active NPI
Victor Maroun, MD
- Emergency Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA08033300
- Practice address
- 703 Main St
Sjrmc Emergency Department
Paterson, NJ 07503-2621 - Phone
- (973) 754-2240
- Fax
- (973) 754-2249
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA08033300 | NJ | Primary |
Addresses
Primary practice location
703 Main St
Sjrmc Emergency Department
Paterson, NJ 07503-2621
Mailing address
182 2ND St
Clifton, NJ 07011-2602
Phone (973) 754-2240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109916 | Medicaid | NJ | |
| D0884470 | Other | NJ | CDS NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061115000020 | NJ | Practitioner - Emergency Medicine | 5193723708 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Montclair Emergency Physicians LLC
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (954) 939-5000
Hospital & facility affiliations
- Hackensack Meridian Mountainside Medical
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Associates of Montclair LLC | Emergency Medicine | Current | Accepting new patients |
| St. Joseph'S Emergency Physicians Inc | Current | Accepting new patients |
Locations
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- vmaroun188911@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1851979470
Emergency Medicine, NJ
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1598112146
Emergency Medicine, NJ
-
- Emergency Medical Services (Emergency Medicine) Physician
- Paterson, NJ
- NPI 1568791192
NJ
Hospital & facility affiliations 1
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": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477564425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 2ND ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112602",
"telephone_number": "973-754-2240",
"fax_number": "973-754-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "SJRMC EMERGENCY DEPARTMENT",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2240",
"fax_number": "973-754-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROUN",
"first_name": "VICTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA08033300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109916",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS NUMBER",
"identifier": "D0884470",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.