Individual provider Active NPI

Marvin Joseph Chiumento, MD

  • Dermatology Physician
  • Morristown, NJ
National Provider Identifier
1497857635
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07226800 Issued in NJ
Practice address
20 Community PL Ste 105
Morristown, NJ 07960-7501
Phone
(973) 538-4544
Fax
(973) 538-3703
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07226800 NJ Primary

Addresses

Primary practice location

20 Community PL Ste 105
Morristown, NJ 07960-7501

Mailing address

20 Community PL Ste 105
Morristown, NJ 07960-7501
Phone (973) 538-4544

Other identifiers 1

IdentifierTypeStateIssuer
0326453MedicaidNJ

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
I20061204000380 NJ Practitioner - DermatologyPractitioner - Anesthesiology 1951300896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Community PL
Morristown, NJ 07960-7501
Phone (973) 538-4544

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as individual
Quality
100
Promoting interoperability
74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions562
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07226800NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M.J. Chiumento Associates LLC Dermatology CurrentSince Aug 1, 2011 Accepting new patients
Vincent Rovito Past Accepting new patients
Dmitry Khasak MD PC Dermatology PastSince May 1, 2012 Accepting new patients
Better Skin Dermatology, LLC Past Accepting new patients
Matthew Joel Guy, MD, PC Past Accepting new patients
Vision Eye Physicians and Surgeons LLC PastSince Jan 21, 2020 Accepting new patients

Locations

20 Community Pl
Ste 120
Morristown, NJ 07960

20 Community Pl
Morristown, NJ 07960
Phone (973) 538-1560

20 Community Pl
Ste 105
Morristown, NJ 07960
Phone (973) 538-4544

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1497857635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL STE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607501",
            "telephone_number": "973-538-4544",
            "fax_number": "973-538-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL STE 105",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607501",
            "telephone_number": "973-538-4544",
            "fax_number": "973-538-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIUMENTO",
        "first_name": "MARVIN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07226800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326453",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.