Individual provider Active NPI

Dante Marconi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Somers Point, NJ
National Provider Identifier
1487067872
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA11207000 Issued in NJ
Practice address
710 Center St FL 2
Somers Point, NJ 08244-1802
Phone
(609) 365-6280
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31705228 PA
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA11207000 NJ Primary

Addresses

Primary practice location

710 Center St FL 2
Somers Point, NJ 08244-1802

Mailing address

710 Center St FL 2
Somers Point, NJ 08244-1802

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
I20210908001572 NJ Practitioner - Orthopedic Surgery 5991101438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Practice addresses (Care Compare)

1 E New York Ave
4TH Floor SPG Admin
Somers Point, NJ 08244-2300

100 Medical Ctr Way
3Rd Floor
Somers Point, NJ 08244-2300
Phone (609) 653-3585

4 W Roosevelt Blvd
Marmora, NJ 08223-1441
Phone (609) 814-9550

649 Shore Rd
Somers Point, NJ 08244-2449
Phone (609) 365-6239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
82.11
Promoting interoperability
100
Improvement activities
40
Cost
68.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11207000NJMDSports Medicine (Orthopaedic Surgery) Physician
31705228PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Oct 3, 2022 Accepting new patients
Recover Pro Medical & Wellness Past Accepting new patients

Locations

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

4450 Black Horse Pike
Unit 3972A
Mays Landing, NJ 08330

4450 Black Horse Pike
Ste 3972
Mays Landing, NJ 08330
Phone (609) 365-6217

710 Center St
Fl 2
Somers Point, NJ 08244
Phone (609) 365-6280

Interoperability endpoints

  • Direct secure messaging: dante.marconi.1@4024.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1487067872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTER ST FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441802",
            "telephone_number": "609-365-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONI",
        "first_name": "DANTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "31705228",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA11207000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.