Individual provider Active NPI

Amanda Marino, MD

  • Family Medicine Physician
  • Somerville, NJ
National Provider Identifier
1508240441
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10078200 Issued in NJ
Practice address
110 Rehill Ave
Somerville, NJ 08876-2519
Phone
(908) 686-2900
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10078200 NJ Primary

Addresses

Primary practice location

110 Rehill Ave
Somerville, NJ 08876-2519

Mailing address

613 Park Ave FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

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
I20170601001609 NJ Practitioner - Family Practice 7012284649 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Call to Care LLCGroup PAC ID 0547699514, 8 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

523 Park Ave
Orange, NJ 07050-1703
Phone (973) 672-8573

613 Park Ave
FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

Hospital & facility affiliations

  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Avenue Community Care Center PC Family Medicine CurrentSince Jul 28, 2025 Accepting new patients
Salerno Medical Associates, LLC CurrentSince May 1, 2017 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Metropolitan Medical Group LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Senior Healthcare Outreach Program CurrentSince May 1, 2017 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients

Locations

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

1577 Route 517
Hackettstown, NJ 07840
Phone (908) 274-0841

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

485 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 639-7546

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1508240441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVE FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "908-686-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10078200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.