Organization Active NPI

Marilyn Baruiz-Creel PC

  • Infectious Disease Physician
  • Old Bridge, NJ
National Provider Identifier
1508932880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA03580300 Issued in NJ
Legal business name
MARILYN BARUIZ-CREEL PC
Practice address
499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746
Phone
(732) 360-1910
Fax
(732) 679-1533
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilyn Baruiz-Creel, M.D.NPI 1932290137
Title
Owner
Phone
(732) 360-1910

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 25MA03580300 NJ Primary

Addresses

Primary practice location

499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746

Mailing address

499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746
Phone (732) 360-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061220000085 NJ Part B Supplier - Clinic/Group Practice 9830198845 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ; Old Bridge, NJ; Perth Amboy, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508932880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 MARLBORO RD",
            "address_2": "SUITE 1",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573746",
            "telephone_number": "732-360-1910",
            "fax_number": "732-679-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 MARLBORO RD",
            "address_2": "SUITE 1",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573746",
            "telephone_number": "732-360-1910",
            "fax_number": "732-679-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN BARUIZ-CREEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARUIZ-CREEL",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-360-1910",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA03580300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.