Active NPI
M.J. Chiumento Associates LLC
- Dermatology Physician
- Morristown, NJ
National Provider Identifier
1508284605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA07226800
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marvin J Chiumento, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Morristown, NJ
- NPI 1497857635
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.