Organization Active NPI

M.J. Chiumento Associates LLC

  • Dermatology Physician
  • Morristown, NJ
National Provider Identifier
1508284605
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
Legal business name
M.J. CHIUMENTO ASSOCIATES LLC
Practice address
20 Community PL Ste 105
Morristown, NJ 07960-7501
Phone
(973) 538-4544
Fax
(973) 538-3703
NPI assigned
Apr 4, 2014
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
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

Authorized official

Name
Marvin J Chiumento, M.D.NPI 1497857635
Title
President
Phone
(973) 538-4544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140411001090 NJ Part B Supplier - Clinic/Group Practice 8628200334 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1508284605",
    "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": {
        "organization_name": "M.J. CHIUMENTO ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "CHIUMENTO",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-538-4544",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07226800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.